RENISHKUMAR JAYSUKHLAL VIRADIYA M.D.
NPI 1487967493
Internal Medicine in East Stroudsburg, PA

Q: What is Renishkumar Viradiya's NPI number?

The NPI number for Renishkumar Viradiya is 1487967493. It was assigned to this individual provider in the NPPES registry on July 19, 2010.

Q: What is Renishkumar Viradiya's specialty?

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

Active since July 19, 2010PECOS EnrolledAccepts Medicare Assignment

206 E BROWN ST, EAST STROUDSBURG, PA 18301(570) 421-4000 Get Directions Write a Review

NPPES record last updated: January 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Renishkumar Jaysukhlal Viradiya M.d. NPPES

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

RENISHKUMAR JAYSUKHLAL VIRADIYA M.D. (NPI 1487967493) is an individual internal medicine provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (MD440743) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1487967493

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameRENISHKUMAR JAYSUKHLAL VIRADIYACredential: M.D.

Location Address206 E BROWN STEast Stroudsburg, PA 18301-3006

Mailing Address206 East Brown St, Pocono Healthcare Management-professional CenterEast Stroudsburg, PA 18360-2530 · (570) 420-4951 · Fax (570) 476-3754

Phone(570) 421-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 19, 2010

Last NPPES UpdateJanuary 13, 2016

✔ NPI 1487967493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD440743

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.

206 E BROWN ST, East Stroudsburg, PA 18301

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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

Renishkumar Jaysukhlal Viradiya 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 ID3274726088

PECOS Enrollment IDI20101025000443

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 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.

821 services269 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

147 services142 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.

145 services86 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.

114 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.

78 services77 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.

76 services74 patients

Hospital Affiliations CMS Care Compare 3

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390133

Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County

Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390201

Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County

Emergency services Birthing friendly

Lehigh Valley Hospital - Dickson City

Acute Care Hospitals · Dickson City, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390338

Location330 Main StreetDickson City, PA 18519 · Lackawanna County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%331 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers12 claims12 services$17.41 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers25 claims25 services$104.80 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier13 claims13 services$37.95 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.

JOHN JOSEPH KERPRICH JR. CRNP

Nurse Practitioner (Psychiatric/Mental Health)

206 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (570) 421-4000

MARY R TUNNESSEN CRNA

Nurse Anesthetist, Certified Registered

206 E BROWN ST
E STROUDSBURG, PA 18301

Monroe County (570) 421-4000

NATHAN VO

Pharmacist

206 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (570) 534-5768

JAMES HIGGINS CAWLEY PA-C

Physician Assistant (Medical)

206 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (570) 476-3316

PAULA S. YOUNGDAHL M.D.

Obstetrics & Gynecology

206 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (570) 426-2700

NCHE ZAMA MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

206 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (570) 420-5331

MS. MARTHA C CARBONE MS, CCC-SLP

Speech-Language Pathologist

206 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (570) 476-3440

JOSEPH PACIUCCI PA-C

Physician Assistant (Surgical)

206 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (570) 421-4000

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 Renishkumar Viradiya's NPI number?

The NPI number for Renishkumar Viradiya is 1487967493. It was assigned to this individual provider in the NPPES registry on July 19, 2010.

Where is Renishkumar Viradiya located?

Renishkumar Viradiya practices at 206 E Brown St, East Stroudsburg, PA 18301. The listed phone number is (570) 421-4000.

What is Renishkumar Viradiya's specialty?

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

Is Renishkumar Viradiya enrolled in Medicare?

Yes. Renishkumar Viradiya 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 Renishkumar Viradiya affiliated with any hospitals?

According to CMS data, Renishkumar Viradiya is affiliated with Lehigh Valley Hospital, Lehigh Valley Hospital - Pocono and Lehigh Valley Hospital - Dickson City.

When was this NPI record last updated?

The NPPES record for Renishkumar Viradiya was last updated on January 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.