DR. AJAY R. MARWAHA M.D.
NPI 1568424968
Internal Medicine - Cardiovascular Disease in Lancaster, PA

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
217 HARRISBURG AVE, THE HEART GROUP OF LGHEALTH, LANCASTER, PA 17603(717) 544-8300(717) 544-8265 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ajay R. Marwaha M.d. NPPES

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

DR. AJAY R. MARWAHA M.D. (NPI 1568424968) is an individual cardiovascular disease provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD070712L) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Lititz, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1997).

NPPES Registry Identity

NPI1568424968
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. AJAY R. MARWAHACredential: M.D.
Location Address217 HARRISBURG AVE, THE HEART GROUP OF LGHEALTHLancaster, PA 17603-2964
Mailing Address217 Harrisburg Ave, The Heart Group Of LghealthLancaster, PA 17603-2964 · (717) 544-8300 · Fax (717) 544-8265
Fax(717) 544-8265
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1997
Enumeration DateApril 3, 2006
Last NPPES UpdateJanuary 30, 2015
NPI 1568424968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in PA · MD070712L
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD070712L (PA)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License MD070712L (PA)
217 HARRISBURG AVE, Lancaster, PA 17603

Other Identifiers 3

Medicare UPINH15413
Medicaid001797736PA
Medicare PIN037763PA

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

Dr. Ajay R. Marwaha 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 ID5890767081
PECOS Enrollment IDI20040809000822
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 21

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
456 services404 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
421 services417 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
136 services136 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
98 services98 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
93 services91 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
89 services89 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Lititz

Acute Care Hospitals · Lititz, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390068
Location1500 Highlands DriveLititz, PA 17543 · Lancaster County
Emergency services Birthing friendly

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17603 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 20

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

Nurse Practitioner (Acute Care)
217 HARRISBURG AVE, SUITE 200
LANCASTER, PA 17603
Internal Medicine (Clinical Cardiac Electrophysiology)
217 HARRISBURG AVE, THE HEART GROUP OF LGHEALTH
LANCASTER, PA 17603
Internal Medicine (Cardiovascular Disease)
217 HARRISBURG AVE, THE HEART GROUP OF LGHEALTH
LANCASTER, PA 17603
Nurse Practitioner (Family)
217 HARRISBURG AVE
LANCASTER, PA 17603
Internal Medicine (Cardiovascular Disease)
217 HARRISBURG AVE
LANCASTER, PA 17603
Nurse Practitioner (Gerontology)
217 HARRISBURG AVE
LANCASTER, PA 17603
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
217 HARRISBURG AVE
LANCASTER, PA 17603
Internal Medicine (Cardiovascular Disease)
217 HARRISBURG AVE, THE HEART GROUP, LTD.
LANCASTER, PA 17603

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 Ajay Marwaha's NPI number?

The NPI number for Ajay Marwaha is 1568424968. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Ajay Marwaha located?

Ajay Marwaha practices at 217 Harrisburg Ave The Heart Group Of Lghealth, Lancaster, PA 17603. The listed phone number is (717) 544-8300.

What is Ajay Marwaha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ajay Marwaha enrolled in Medicare?

Yes. Ajay Marwaha 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 Ajay Marwaha accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ajay Marwaha 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 Ajay Marwaha affiliated with any hospitals?

According to CMS data, Ajay Marwaha is affiliated with Upmc Lititz, Lancaster General Hospital and Wellspan Ephrata Community Hospital.

When was this NPI record last updated?

The NPPES record for Ajay Marwaha was last updated on January 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.