DR. RAHUL N PAWAR MD
NPI 1639455090
Internal Medicine - Nephrology in Rock Springs, WY
About Dr. Rahul N Pawar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAHUL N PAWAR MD (NPI 1639455090) is an individual nephrology provider in Rock Springs, Wyoming, licensed in Wyoming (10473A) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with South Lincoln Medical Center - Cah, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Rahul N Pawar 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.
Medicare Billing Reassignment
Medicare enrollment records show Rahul Pawar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rock Springs, WY 82901
- Reassigned Medicare billing, Wyoming enrollment
- Also billed through NPI 1558361949 (Wyoming)
- 176 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Lincoln Medical Center - Cah
Critical Access Hospitals · Kemmerer, WYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 82901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Rahul Pawar's NPI number?
The NPI number for Rahul Pawar is 1639455090. It was assigned to this individual provider in the NPPES registry on October 31, 2011.
Where is Rahul Pawar located?
Rahul Pawar practices at 1180 College Dr, Rock Springs, WY 82901. The listed phone number is (307) 212-7711.
What is Rahul Pawar's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Rahul Pawar enrolled in Medicare?
Yes. Rahul Pawar 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.
Which organization bills Medicare for Rahul Pawar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rahul Pawar reassigns Medicare benefits to Memorial Hospital Of Sweetwater County (Rock Springs, WY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rahul Pawar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rahul Pawar accept?
Health plans from Blue Cross Blue Shield of Wyoming, UnitedHealthcare and University of Utah Health Plans list Rahul Pawar 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 Rahul Pawar affiliated with any hospitals?
According to CMS data, Rahul Pawar is affiliated with South Lincoln Medical Center - Cah.
When was this NPI record last updated?
The NPPES record for Rahul Pawar was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Rahul N Pawar, MD · NPI 1639455090
Nephrology physician in Rock Springs, Wyoming. Individual provider, active in the CMS NPPES registry since October 31, 2011.
## Identity
- **NPI:** 1639455090 (Entity type: Individual)
- **Enumerated:** October 31, 2011
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 10473A (Wyoming)
- **Sole proprietor:** No
## Practice location
- **Address:** 1180 COLLEGE DR, Rock Springs, WY 82901-5863
- **Phone:** (307) 212-7711 · **Fax:** (307) 352-8210
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Memorial Hospital Of Sweetwater County (NPI 1437312436, Rock Springs, WY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** January 23, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1639455090) · Data from the CMS NPPES public registry.