1. Home
  2. Directory
  3. Wisconsin
  4. West Allis
  5. Hospitalist
  6. NPI Profile

HIRENKUMAR PANSHERIYA M.D.
NPI 1457620189
Hospitalist in West Allis, WI

Active since December 27, 2011PECOS EnrolledAccepts Medicare Assignment
2400 S 90TH STREET, MOB # 306, WEST ALLIS, WI 53227(347) 494-3434 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 29, 2021, Nov 11, 2020 (2 updates tracked since 2020).

About Hirenkumar Pansheriya M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIRENKUMAR PANSHERIYA M.D. (NPI 1457620189) is an individual hospitalist provider in West Allis, Wisconsin, licensed in Wisconsin (56878-20) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1457620189
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameHIRENKUMAR PANSHERIYACredential: M.D.
Location Address2400 S 90TH STREET, MOB # 306West Allis, WI 53227
Mailing Address2400 S 90th Street, Mob # 306West Allis, WI 53227 · (347) 494-3434
Phone(347) 494-3434
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 27, 2011
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
✔ NPI 1457620189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 56878-20
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 56878-20 (WI)
2400 S 90TH STREET, West Allis, WI 53227
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hirenkumar Pansheriya M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678729191
PECOS Enrollment IDI20120815000531
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
323 services130 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
123 services120 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
92 services70 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
48 services46 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services36 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520035
Location3400 Union AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520059
Location252 Mchenry StBurlington, WI 53105 · Racine County
Emergency services

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hirenkumar Pansheriya's NPI number?

The NPI number for Hirenkumar Pansheriya is 1457620189. It was assigned to this individual provider in the NPPES registry on December 27, 2011.

Where is Hirenkumar Pansheriya located?

Hirenkumar Pansheriya practices at 2400 S 90th Street Mob # 306, West Allis, WI 53227. The listed phone number is (347) 494-3434.

What is Hirenkumar Pansheriya's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Hirenkumar Pansheriya enrolled in Medicare?

Yes. Hirenkumar Pansheriya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hirenkumar Pansheriya accept?

Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Hirenkumar Pansheriya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hirenkumar Pansheriya affiliated with any hospitals?

According to CMS data, Hirenkumar Pansheriya is affiliated with Aurora Health Care Central Inc, Aurora Memorial Hospital Burlington, Aurora St Lukes Medical Center, West Allis Memorial Hospital and Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for Hirenkumar Pansheriya was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.