DR. HITESH VINOD GIDWANI M.D
NPI 1588929889
Internal Medicine - Critical Care Medicine in Erie, PA

Active since July 12, 2012PECOS EnrolledAccepts Medicare Assignment
51.85/100
CMS Quality Rating
204 W 26TH ST, ERIE, PA 16508(814) 864-4755(814) 864-5430 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 2, 2020, Jul 1, 2020, Jul 10, 2017 (3 updates tracked since 2017).

About Dr. Hitesh Vinod Gidwani M.d NPPES

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

DR. HITESH VINOD GIDWANI M.D (NPI 1588929889) is an individual critical care medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (MD459410) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1588929889
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. HITESH VINOD GIDWANICredential: M.D
Location Address204 W 26TH STErie, PA 16508-1806
Mailing Address204 W 26th StErie, PA 16508-1806 · (814) 864-4755 · Fax (814) 864-5430
Fax(814) 864-5430
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 12, 2012
Last NPPES UpdateOctober 2, 20203 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
NPI 1588929889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in PA · MD459410
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD459410 (PA)
204 W 26TH ST, Erie, PA 16508

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. Hitesh Vinod Gidwani 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 ID5597036053
PECOS Enrollment IDI20200825001242
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 8

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
849 services348 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.
212 services140 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
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
26 services25 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
22 services22 patients
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.
22 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450604
Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie County
Emergency services Birthing friendly

Uvalde Memorial Hospital

Critical Access Hospitals · Uvalde, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451387
Location1025 Garner Field RoadUvalde, TX 78801 · Uvalde County
Emergency services

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16508 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.

51.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.95
Promoting Interoperability37
Improvement Activities20
Cost43.4

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.

Orthopaedic Surgery
204 W 26TH ST
ERIE, PA 16508
Nurse Practitioner (Acute Care)
204 W 26TH ST
ERIE, PA 16508
Physician Assistant
204 W 26TH ST, ORTHOPEDIC SURGEONS INC.
ERIE, PA 16508
Internal Medicine (Pulmonary Disease)
204 W 26TH ST
ERIE, PA 16508
Physician Assistant
204 W 26TH ST
ERIE, PA 16508
Internal Medicine (Pulmonary Disease)
204 W 26TH ST
ERIE, PA 16508
Internal Medicine (Pulmonary Disease)
204 W 26TH ST
ERIE, PA 16508
Nurse Practitioner
204 W 26TH ST
ERIE, PA 16508

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 Hitesh Gidwani's NPI number?

The NPI number for Hitesh Gidwani is 1588929889. It was assigned to this individual provider in the NPPES registry on July 12, 2012.

Where is Hitesh Gidwani located?

Hitesh Gidwani practices at 204 W 26th St, Erie, PA 16508. The listed phone number is (814) 864-4755.

What is Hitesh Gidwani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Hitesh Gidwani enrolled in Medicare?

Yes. Hitesh Gidwani 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 Hitesh Gidwani accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Hitesh Gidwani 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 Hitesh Gidwani affiliated with any hospitals?

According to CMS data, Hitesh Gidwani is affiliated with Peterson Regional Medical Center, Methodist Hospital, Hill Country Memorial Hospital, Uvalde Memorial Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Hitesh Gidwani was last updated on October 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.