DR. ASHISH J SITAPARA M.D.
NPI 1720023971
Internal Medicine in Newtown, PA

Q: What is Ashish Sitapara's NPI number?

The NPI number for Ashish Sitapara is 1720023971. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Q: What is Ashish Sitapara'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 Ashish Sitapara was last updated on January 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 June 19, 2006PECOS EnrolledAccepts Medicare Assignment

83/100

CMS Quality Rating

770 NEWTOWN YARDLEY RD, SUITE 220A, NEWTOWN, PA 18940(215) 968-4804(215) 968-4759 Get Directions Write a Review

NPPES record last updated: January 12, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Ashish J Sitapara M.d. NPPES

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

DR. ASHISH J SITAPARA M.D. (NPI 1720023971) is an individual internal medicine provider in Newtown, Pennsylvania, licensed in Pennsylvania (MD428153) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1720023971

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ASHISH J SITAPARACredential: M.D.

Location Address770 NEWTOWN YARDLEY RD, SUITE 220ANewtown, PA 18940-4501

Mailing Address770 Newtown Yardley Rd, Suite 220aNewtown, PA 18940-4501 · (215) 968-4804 · Fax (215) 968-4759

Phone(215) 968-4804

Fax(215) 968-4759

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateJune 19, 2006

Last NPPES UpdateJanuary 12, 2011

✔ NPI 1720023971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD428153

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.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License MD428153 (PA), 221806 (MA), 25MA07961500 (NJ)

770 NEWTOWN YARDLEY RD, Newtown, PA 18940

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Other Identifiers 5

Medicare UPINI21835PA

Medicare UPINA37918MA

Medicare ID-Type Unspecified106805-PF2PA

Medicare PIN111869WQA

Medicare PIN111870PA

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. Ashish J Sitapara 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 ID8527024447

PECOS Enrollment IDI20070205000345

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.

Medicare Billing Reassignment

Medicare enrollment records show Ashish Sitapara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ashish Sitapara M.D. P.C.

Same address

Internal Medicine

770 NEWTOWN YARDLEY RD, SUITE 220A
Newtown, PA 18940

Reassigned Medicare billing, Pennsylvania enrollment
2 clinicians in this Medicare group

NPI 1205057916 (215) 968-4804

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 26

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.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

1,560 services21 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

549 services209 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

445 services166 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

430 services193 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.

161 services100 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

141 services141 patients

Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446

This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.

140 services140 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

139 services139 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

138 services138 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

133 services124 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

119 services64 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

109 services108 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

91 services90 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

90 services89 patients

Pneumococcal conjugate vaccine, 15 valent (pcv15), for intramuscular use 90671

The Pneumococcal Conjugate Vaccine, 15-valent (PCV15), is given through a muscle injection. It helps protect against 15 types of bacteria that can cause serious illnesses like pneumonia and meningitis. It's important for overall health and prevention.

60 services60 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

52 services51 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

50 services42 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

47 services29 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

36 services29 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

24 services22 patients

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328

A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.

19 services19 patients

Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic G2012

A virtual check-in is a short online or phone consultation with your healthcare provider. It's for established patients and isn't related to a recent appointment. It's a convenient way to discuss health concerns without needing to visit the office in person.

19 services13 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.

18 services17 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.

15 services14 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

13 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390203

Location595 West State StDoylestown, PA 18901 · Bucks County

Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390258

LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18940 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.91

Promoting Interoperability

Improvement Activities

Cost

56.25

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers13 claims32 services$6.56 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers15 claims15 services$41.93 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier62 claims62 services$13.90 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

2 suppliers13 claims13 services$20.73 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$179.96 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.

BENJAMIN MARK RULEY DPT

Physical Therapist

770 NEWTOWN YARDLEY RD
NEWTOWN, PA 18940

Bucks County (215) 860-7031

WILLIAM S LYNDE D.P.M.

Podiatrist (Foot & Ankle Surgery)

770 NEWTOWN YARDLEY RD, SUITE 215
NEWTOWN, PA 18940

Bucks County (215) 968-8700

GRINGERI FAMILY MEDICINE, P.C.

Family Medicine

770 NEWTOWN YARDLEY RD, SUITE 221
NEWTOWN, PA 18940

Bucks County (215) 860-2990

WILLIAM NICHOLAS GLEASON M.D.

Physical Medicine & Rehabilitation

770 NEWTOWN YARDLEY RD, SUITE 225
NEWTOWN, PA 18940

Bucks County (215) 968-4901

ASHISH SITAPARA M.D. P.C.

Internal Medicine

770 NEWTOWN YARDLEY RD, SUITE 220A
NEWTOWN, PA 18940

Bucks County (215) 968-4804

SARAH EMILIE REGAN PT

Physical Therapist

770 NEWTOWN YARDLEY RD
NEWTOWN, PA 18940

Bucks County (215) 860-7031

NEWTOWN PODIATRY ASSOCIATES

Podiatrist (Foot & Ankle Surgery)

770 NEWTOWN YARDLEY RD, SUITE 215
NEWTOWN, PA 18940

Bucks County (215) 968-8700

ALLYSSA CHAMBERLAIN

Physical Therapist

770 NEWTOWN YARDLEY RD, SUITE 210
NEWTOWN, PA 18940

Bucks County (215) 860-7031

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 Ashish Sitapara's NPI number?

The NPI number for Ashish Sitapara is 1720023971. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Ashish Sitapara located?

Ashish Sitapara practices at 770 Newtown Yardley Rd Suite 220A, Newtown, PA 18940. The listed phone number is (215) 968-4804.

What is Ashish Sitapara's specialty?

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

Is Ashish Sitapara enrolled in Medicare?

Yes. Ashish Sitapara 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 Ashish Sitapara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashish Sitapara reassigns Medicare benefits to Ashish Sitapara M.D. P.C. (Newtown, PA). 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 Ashish Sitapara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ashish Sitapara affiliated with any hospitals?

According to CMS data, Ashish Sitapara is affiliated with Hospital Of Univ Of Pennsylvania, Doylestown Hospital and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Ashish Sitapara was last updated on January 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.