KARISHMA KADARIYA
NPI 1669092797
Hospitalist in Sheffield, AL

Active since April 18, 2020PECOS EnrolledAccepts Medicare Assignment
1300 S MONTGOMERY AVE, SHEFFIELD, AL 35660(256) 386-4196 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2023, Apr 18, 2020 (2 updates tracked since 2020).

About Karishma Kadariya NPPES

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

KARISHMA KADARIYA (NPI 1669092797) is an individual hospitalist provider in Sheffield, Alabama, licensed in Alabama (47186) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1669092797
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameKARISHMA KADARIYA
Location Address1300 S MONTGOMERY AVESheffield, AL 35660-6367
Mailing Address4053 Kernachan DrMuscle Shoals, AL 35661-4313 · (568) 856-1255
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 18, 2020
Last NPPES UpdateOctober 6, 20232 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
NPI 1669092797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in AL · 47186
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.
1300 S MONTGOMERY AVE, Sheffield, AL 35660

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Karishma Kadariya 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 ID3577903202
PECOS Enrollment IDI20240429002791
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 2

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.
69 services29 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.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35660 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Pharmacist
1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
Nurse Practitioner (Acute Care)
1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
Registered Nurse (Critical Care Medicine)
1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
Clinic/Center (Occupational Medicine)
1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
Psychiatry & Neurology (Neurology)
1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
Physical Therapist
1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
Radiology (Diagnostic Radiology)
1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
Hospitalist
1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660

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 Karishma Kadariya's NPI number?

The NPI number for Karishma Kadariya is 1669092797. It was assigned to this individual provider in the NPPES registry on April 18, 2020.

Where is Karishma Kadariya located?

Karishma Kadariya practices at 1300 S Montgomery Ave, Sheffield, AL 35660. The listed phone number is (256) 386-4196.

What is Karishma Kadariya's specialty?

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

Is Karishma Kadariya enrolled in Medicare?

Yes. Karishma Kadariya 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 Karishma Kadariya accept?

Health plans from Blue Cross and Blue Shield of Alabama list Karishma Kadariya 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.

When was this NPI record last updated?

The NPPES record for Karishma Kadariya was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.