DR. ANKUR VAIDYA MD
NPI 1538796461
Internal Medicine in Columbia, TN

Q: What is Ankur Vaidya's NPI number?

The NPI number for Ankur Vaidya is 1538796461. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Q: What is Ankur Vaidya's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ankur Vaidya was last updated on July 6, 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.

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment

1224 TROTWOOD AVE, COLUMBIA, TN 38401(931) 381-1111 Get Directions Write a Review

NPPES record last updated: July 6, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 6, 2024, Apr 30, 2024, Mar 23, 2020 (3 updates tracked since 2020).

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About Dr. Ankur Vaidya Md NPPES

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

DR. ANKUR VAIDYA MD (NPI 1538796461) is an individual internal medicine provider in Columbia, Tennessee, licensed in Tennessee (70155) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Maury Regional Hospital, and is a graduate of University Of Maryland School Of Medicine (2020).

NPPES Registry Identity

NPI1538796461

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ANKUR VAIDYACredential: MD

Location Address1224 TROTWOOD AVEColumbia, TN 38401-4802

Mailing Address3266 Hearth Hollow RdColumbia, TN 38401-3006 · (443) 827-0485

Phone(931) 381-1111

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2020

Enumeration DateMarch 23, 2020

Last NPPES UpdateJuly 6, 20243 updates tracked since enumeration

NPPES CertifiedJuly 6, 2024

✔ NPI 1538796461 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 TN · 70155

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 ListedPediatricsTaxonomy 208000000X · License 70155 (TN)

1224 TROTWOOD AVE, Columbia, TN 38401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ankur Vaidya 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 ID547791972

PECOS Enrollment IDI20241009001032

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.

Medicare Billing Reassignment

Medicare enrollment records show Ankur Vaidya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Maury Regional Medical Group, Inc

0.5 mi

Family Medicine

854 W JAMES CAMPBELL BLVD, SUITE 303
Columbia, TN 38401

Reassigned Medicare billing, Tennessee enrollment
228 clinicians in this Medicare group

NPI 1205886264 (931) 540-4255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

132 services73 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 services75 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.

43 services33 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.

28 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440073

Location1224 Trotwood AveColumbia, TN 38401 · Maury County

Emergency services Birthing friendly

Southern Tennessee Regional Health System Lawrence

Acute Care Hospitals · Lawrenceburg, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number440175

Location1607 South Locust AvenueLawrenceburg, TN 38464 · Lawrence County

Emergency services Birthing friendly

Marshall Medical Center

Critical Access Hospitals · Lewisburg, TN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number441309

Location1080 North Ellington ParkwayLewisburg, TN 37091 · Marshall County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

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