DR. ABHISHEK SANTOS PANDYA M.D.
NPI 1689131518
Internal Medicine in Iowa City, IA

Q: What is Abhishek Pandya's NPI number?

The NPI number for Abhishek Pandya is 1689131518. It was assigned to this individual provider in the NPPES registry on February 27, 2019.

Q: What is Abhishek Pandya's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Abhishek Pandya was last updated on July 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 27, 2019PECOS EnrolledAccepts Medicare Assignment

200 HAWKINS DR, IOWA CITY, IA 52242(319) 384-6593 Get Directions Write a Review

NPPES record last updated: July 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2024, Oct 11, 2023, Oct 6, 2023 and 3 more (6 updates tracked since 2019).

On this page

About Dr. Abhishek Santos Pandya M.d. NPPES

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

DR. ABHISHEK SANTOS PANDYA M.D. (NPI 1689131518) is an individual internal medicine provider in Iowa City, Iowa, licensed in Illinois (125.074256) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689131518

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ABHISHEK SANTOS PANDYACredential: M.D.

Location Address200 HAWKINS DRIowa City, IA 52242-1009

Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 384-6593

Phone(319) 384-6593

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 27, 2019

Last NPPES UpdateJuly 2, 20226 updates tracked since enumeration

NPPES CertifiedJuly 2, 2022

✔ NPI 1689131518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 125.074256

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.

200 HAWKINS DR, Iowa City, IA 52242

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. Abhishek Santos Pandya 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 ID5395143143

PECOS Enrollment IDI20240712001593

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 5

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 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.

168 services58 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

80 services43 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

60 services54 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

27 services27 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.

19 services18 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160045

Location1026 A Ave NECedar Rapids, IA 52402 · Linn County

Emergency services Birthing friendly

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160079

Location701 10th Street SECedar Rapids, IA 52403 · Linn County

Emergency services Birthing friendly

Jones Regional Medical Center

Critical Access Hospitals · Anamosa, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161306

Location1795 Highway 64 EastAnamosa, IA 52205 · Jones County

Emergency services

Buchanan County Health Center

Critical Access Hospitals · Independence, IA

OwnershipGovernment - Local

CMS Certification Number161335

Location1600 First St EastIndependence, IA 50644 · Buchanan County

Emergency services

Regional Medical Center

Critical Access Hospitals · Manchester, IA

OwnershipGovernment - Local

CMS Certification Number161343

Location709 W Main StreetManchester, IA 52057 · Delaware County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

SANGIL LEE M.D.

Emergency Medicine

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-2233

RAMI G. EL ABIAD M.D.

Internal Medicine (Gastroenterology)

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-4901

GRERK SUTAMTEWAGUL MD

Internal Medicine (Hematology & Oncology)

200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242

Johnson County (319) 356-1616

DR. KALEB TANNER VEIT D.O.

Internal Medicine (Critical Care Medicine)

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-2320

OMAR JABER M.D

Chronic Disease Hospital

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 471-8958

JENNIFER MANCUSO MS, CGC

Genetic Counselor, MS

200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242

Johnson County (319) 384-7983

ASHLEY KAISER M.D.

Obstetrics & Gynecology

200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242

Johnson County (319) 356-2294

MRS. NANCY JANE MILLICE

Health Educator

200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242

Johnson County (319) 356-3825

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 Abhishek Pandya's NPI number?

The NPI number for Abhishek Pandya is 1689131518. It was assigned to this individual provider in the NPPES registry on February 27, 2019.

Where is Abhishek Pandya located?

Abhishek Pandya practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 384-6593.

What is Abhishek Pandya's specialty?

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

Is Abhishek Pandya enrolled in Medicare?

Yes. Abhishek Pandya 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 Abhishek Pandya accept?

Health plans from Medica list Abhishek Pandya 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 Abhishek Pandya affiliated with any hospitals?

According to CMS data, Abhishek Pandya is affiliated with St Lukes Hospital, Mercy Medical Center - Cedar Rapids, Jones Regional Medical Center, Buchanan County Health Center and Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Abhishek Pandya was last updated on July 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.