DR. AKSHAYKUMAR VACHHANI MD
NPI 1558867689
Hospitalist in Wilkes Barre, PA

Q: What is Akshaykumar Vachhani's NPI number?

The NPI number for Akshaykumar Vachhani is 1558867689. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Q: What is Akshaykumar Vachhani's specialty?

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

Active since April 05, 2018PECOS EnrolledAccepts Medicare Assignment

575 N RIVER ST, WILKES BARRE, PA 18764(570) 552-4450 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Akshaykumar Vachhani Md NPPES

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

DR. AKSHAYKUMAR VACHHANI MD (NPI 1558867689) is an individual hospitalist provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD474625) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1558867689

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. AKSHAYKUMAR VACHHANICredential: MD

Location Address575 N RIVER STWilkes Barre, PA 18764-5425

Mailing Address121 Dekalb AveBrooklyn, NY 11201-5425

Phone(570) 552-4450

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 5, 2018

Last NPPES UpdateJune 30, 2021

NPPES CertifiedJune 30, 2021

✔ NPI 1558867689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in PA · MD474625

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 MD474625 (PA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

575 N RIVER ST, Wilkes Barre, PA 18764

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Secondary Practice Location 1

Location 1121 Dekalb Ave, House Staff AdministrationBrooklyn, NY 11201-5425 · Phone (718) 250-6604

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. Akshaykumar Vachhani 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 ID4183961543

PECOS Enrollment IDI20210715000889

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 Reassignments

Medicare enrollment records show Akshaykumar Vachhani reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pennsylvania Hospitalist Group, LLC

Same address

Hospitalist

575 N RIVER ST
Wilkes Barre, PA 18764

Reassigned Medicare billing, Pennsylvania enrollment
76 clinicians in this Medicare group

NPI 1558126342 (570) 829-8111

Advanced Inpatient Medicine Associates PC

Same address

Hospitalist

575 N RIVER ST
Wilkes Barre, PA 18764

Reassigned Medicare billing, Pennsylvania enrollment
78 clinicians in this Medicare group

NPI 1396168589 (570) 552-4450

Advanced Inpatient Medicine PC

15 mi

Hospitalist

746 JEFFERSON AVE FL 4
Scranton, PA 18510

Reassigned Medicare billing, Pennsylvania enrollment
98 clinicians in this Medicare group

NPI 1871725366 (570) 241-4715

Guthrie Medical Group, P.C,

22 mi

Family Medicine

5950 SR 6 STE 101
Tunkhannock, PA 18657

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Guthrie Medical Group PC
830 clinicians in this Medicare group

NPI 1164471652 (570) 836-4294

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.

268 services130 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.

72 services43 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.

63 services62 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.

50 services50 patients

Hospital Affiliations CMS Care Compare

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number390137

Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18764 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.

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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