PINALKUMAR V. MAKWANA MD
NPI 1457790487
Internal Medicine in Charlotte, NC

Q: What is Pinalkumar Makwana's NPI number?

The NPI number for Pinalkumar Makwana is 1457790487. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Q: What is Pinalkumar Makwana's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 24, 2013PECOS EnrolledAccepts Medicare Assignment

95.35/100

CMS Quality Rating

10628 PARK RD, CHARLOTTE, NC 28210(704) 667-7070 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 55 more (58 updates tracked since 2016).

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About Pinalkumar V. Makwana Md NPPES

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

PINALKUMAR V. MAKWANA MD (NPI 1457790487) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (2016-01790) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1457790487

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NamePINALKUMAR V. MAKWANACredential: MD

Location Address10628 PARK RDCharlotte, NC 28210-8407

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 667-7070

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 24, 2013

Last NPPES UpdateJuly 15, 202458 updates tracked since enumeration

✔ NPI 1457790487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NC · 2016-01790

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 2016-01790 (NC)

10628 PARK RD, Charlotte, NC 28210

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Secondary Practice Locations 4

Location 18800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 863-6241

Location 2920 Church St N, Suite 255Concord, NC 28025-2927 · Phone (704) 403-1331

Location 32001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 304-6070

Location 41000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-0720

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

Pinalkumar V. Makwana Md 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 ID244527414

PECOS Enrollment IDI20161003001758

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 6

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 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.

389 services202 patients

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.

337 services110 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.

201 services200 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

39 services19 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.

16 services16 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340098

Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers14 claims14 services$47.78 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$922.57 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD RALPH PAGANO MD

Anesthesiology

10628 PARK RD
CHARLOTTE, NC 28210

Mecklenburg County (704) 667-1000

BENJAMIN JOEL ROBERTS CRNA

Nurse Anesthetist, Certified Registered

10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210

Mecklenburg County (704) 667-1000

MR. GREGORY A DUGGAN CRNA

Nurse Anesthetist, Certified Registered

10628 PARK RD
CHARLOTTE, NC 28210

Mecklenburg County (704) 667-1000

NGOC BAO NGUYEN PA

Physician Assistant

10628 PARK RD
CHARLOTTE, NC 28210

Mecklenburg County (704) 667-7070

CHERYL SPEIGHT MASTROIANNI CRNA

Nurse Anesthetist, Certified Registered

10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210

Mecklenburg County (704) 667-1000

REAGAN FRANCES NORVELL

Physician Assistant

10628 PARK RD
CHARLOTTE, NC 28210

Mecklenburg County (704) 446-6810

DR. LINDA J. MATTHEWS M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

10628 PARK RD
CHARLOTTE, NC 28210

Mecklenburg County (704) 973-5500

KAY HUFFSTETLER BARBERA CRNA

Nurse Anesthetist, Certified Registered

10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210

Mecklenburg County (704) 667-1000

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 Pinalkumar Makwana's NPI number?

The NPI number for Pinalkumar Makwana is 1457790487. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Where is Pinalkumar Makwana located?

Pinalkumar Makwana practices at 10628 Park Rd, Charlotte, NC 28210. The listed phone number is (704) 667-7070.

What is Pinalkumar Makwana's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pinalkumar Makwana enrolled in Medicare?

Yes. Pinalkumar Makwana 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.

Is Pinalkumar Makwana affiliated with any hospitals?

According to CMS data, Pinalkumar Makwana is affiliated with Atrium Health Pineville and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Pinalkumar Makwana was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.