Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. PRASHANT WADHWA M.D.
NPI 1609855865
Internal Medicine in Plymouth, MA

Active since January 16, 2006PECOS Enrolled
275 SANDWICH ST, PLYMOUTH, MA 02360(508) 746-2000(508) 830-2502 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Prashant Wadhwa M.d. NPPES

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

DR. PRASHANT WADHWA M.D. (NPI 1609855865) is an individual internal medicine provider in Plymouth, Massachusetts, licensed in Massachusetts (223531) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Lowell General Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1609855865
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRASHANT WADHWACredential: M.D.
Location Address275 SANDWICH STPlymouth, MA 02360-2183
Mailing Address8 Elko St, Apartment 8Brighton, MA 02135-2945 · (508) 887-2138
Fax(508) 830-2502
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 16, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1609855865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 223531
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.

275 SANDWICH ST, Plymouth, MA 02360

Other Identifiers 2

OtherJ29606MA · Bcbsma
Medicaid2112183MA

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. Prashant Wadhwa 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 ID3072530146
PECOS Enrollment IDI20051027000933
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 3

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
60 services41 patients
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.
23 services21 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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02360 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$51.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Specialist
275 SANDWICH ST
PLYMOUTH, MA 02360
Internal Medicine (Medical Oncology)
275 SANDWICH ST, C/O CATHY GREY
PLYMOUTH, MA 02360
Internal Medicine (Hematology & Oncology)
275 SANDWICH ST, C/O CATHY GREY
PLYMOUTH, MA 02360
Internal Medicine
275 SANDWICH ST, C/O CATHY GREY
PLYMOUTH, MA 02360
Internal Medicine
275 SANDWICH ST, C/O CATHY GREY
PLYMOUTH, MA 02360
Nurse Practitioner (Adult Health)
275 SANDWICH ST, C/O CATHY GREY
PLYMOUTH, MA 02360
Radiology (Diagnostic Radiology)
275 SANDWICH ST
PLYMOUTH, MA 02360
Radiology (Diagnostic Radiology)
275 SANDWICH ST
PLYMOUTH, MA 02360

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 Prashant Wadhwa's NPI number?

The NPI number for Prashant Wadhwa is 1609855865. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is Prashant Wadhwa located?

Prashant Wadhwa practices at 275 Sandwich St, Plymouth, MA 02360. The listed phone number is (508) 746-2000.

What is Prashant Wadhwa's specialty?

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

Is Prashant Wadhwa enrolled in Medicare?

Yes. Prashant Wadhwa 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.

Is Prashant Wadhwa affiliated with any hospitals?

According to CMS data, Prashant Wadhwa is affiliated with Lowell General Hospital.

When was this NPI record last updated?

The NPPES record for Prashant Wadhwa was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.