HARSH YOGESHKUMAR ADHYARU M.D.
NPI 1528312121
Obstetrics & Gynecology in Jacksonville, TX

Active since November 04, 2012PECOS EnrolledAccepts Medicare Assignment
423 S MAIN ST, JACKSONVILLE, TX 75766(903) 508-4203(903) 522-4102 Get Directions Write a Review

NPPES record last updated: October 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2023, Jan 10, 2017, Sep 26, 2016 (3 updates tracked since 2016).

About Harsh Yogeshkumar Adhyaru M.d. NPPES

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

HARSH YOGESHKUMAR ADHYARU M.D. (NPI 1528312121) is an individual obstetrics & gynecology provider in Jacksonville, Texas, licensed in Texas (Q9101) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Jacksonville Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1528312121
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameHARSH YOGESHKUMAR ADHYARUCredential: M.D.
Location Address423 S MAIN STJacksonville, TX 75766-4927
Mailing Address423 S Main StJacksonville, TX 75766-4927 · (903) 508-4203 · Fax (903) 522-4102
Fax(903) 522-4102
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 4, 2012
Last NPPES UpdateOctober 28, 20233 updates tracked since enumeration
NPPES CertifiedOctober 28, 2023
NPI 1528312121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in TX · Q9101
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
423 S MAIN ST, Jacksonville, TX 75766

Accepted 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

Harsh Yogeshkumar Adhyaru 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 ID5193011393
PECOS Enrollment IDI20160915000173
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services11 patients

Hospital Affiliations CMS Care Compare

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

Ut Health East Texas Jacksonville Hospital

Acute Care Hospitals · Jacksonville, TX
OwnershipProprietary
CMS Certification Number450194
Location501 S RagsdaleJacksonville, TX 75766 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75766 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
423 S MAIN ST
JACKSONVILLE, TX 75766
Obstetrics & Gynecology
423 S MAIN ST
JACKSONVILLE, TX 75766

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 Harsh Adhyaru's NPI number?

The NPI number for Harsh Adhyaru is 1528312121. It was assigned to this individual provider in the NPPES registry on November 4, 2012.

Where is Harsh Adhyaru located?

Harsh Adhyaru practices at 423 S Main St, Jacksonville, TX 75766. The listed phone number is (903) 508-4203.

What is Harsh Adhyaru's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Harsh Adhyaru enrolled in Medicare?

Yes. Harsh Adhyaru 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 Harsh Adhyaru accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Harsh Adhyaru 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 Harsh Adhyaru affiliated with any hospitals?

According to CMS data, Harsh Adhyaru is affiliated with Ut Health East Texas Jacksonville Hospital.

When was this NPI record last updated?

The NPPES record for Harsh Adhyaru was last updated on October 28, 2023. 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.