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ASHISH CHAWLA M.D.
NPI 1750346730
Internal Medicine - Gastroenterology in West Chester, PA

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
915 OLD FERN HILL ROAD, BUILDING B, SUITE 300, WEST CHESTER, PA 19380(610) 431-3122(610) 431-4799 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2025, May 19, 2022 (2 updates tracked since 2022).

About Ashish Chawla M.d. NPPES

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

ASHISH CHAWLA M.D. (NPI 1750346730) is an individual gastroenterology provider in West Chester, Pennsylvania, licensed in Pennsylvania (MD422194) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Inspira Medical Center Vineland, and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1750346730
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameASHISH CHAWLACredential: M.D.
Location Address915 OLD FERN HILL ROAD, BUILDING B, SUITE 300West Chester, PA 19380
Mailing Address1 Hospital Dr Ste 306Lewisburg, PA 17837-9350 · (610) 431-3122 · Fax (610) 431-4799
Phone(610) 431-3122
Fax(610) 431-4799
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1997
Enumeration DateApril 20, 2006
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1750346730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · MD422194
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
915 OLD FERN HILL ROAD, West Chester, PA 19380
Open in Google Maps ↗

Secondary Practice Locations 9

Location 124 Antrim Commons DrGreencastle, PA 17225-1623 · Phone (717) 765-3648
Location 2501 E Main StWaynesboro, PA 17268-2353 · Phone (717) 765-3648
Location 34150 Barrett Blvd Ste 200Ephrata, PA 17522-8979 · Phone (717) 738-5648
Location 42350 Freedom Way Ste 200York, PA 17402-8200 · Phone (717) 812-5120
Location 5954 Isabel DrLebanon, PA 17042-7482 · Phone (717) 376-1180
Location 63901 S Atherton St Ste 2State College, PA 16801-8324 · Phone (814) 278-4631 · Fax (814) 278-4685
Location 7164 Greenview Drive, Mount Nittany Health GastroenterologyState College, PA 16803 · Phone (814) 278-4631 · Fax (814) 278-4685
Location 81227 Baltimore StHanover, PA 17331-4406 · Phone (717) 812-5130
Location 937 N 5th StGettysburg, PA 17325-2004 · Phone (717) 339-3125

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Ashish Chawla 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 ID5395799340
PECOS Enrollment IDI20130529000309
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 Reassignments

4

Medicare enrollment records show Ashish Chawla reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Chester Gi Associates PC
Same address
Gastroenterology
915 OLD FERN HILL ROAD, BUILDING B SUITE 300
West Chester, PA 19380
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 11 clinicians in this Medicare group
NPI 1336100924 (610) 431-3122
Prospect Health Access Network, Inc.
7.6 mi
Physical Medicine & Rehabilitation
485 BALTIMORE PIKE, SUITE 202
Glen Mills, PA 19342
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 clinicians in this Medicare group
NPI 1083061006 (610) 588-9222
Wellspan Medical Group
26 mi
Family Medicine
1135 GEORGETOWN RD UNIT 201
Christiana, PA 17509
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1427509942 (717) 466-2462
Mount Nittany Medical Center Health Services Inc
134 mi
Internal Medicine
155 WELLNESS WAY
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 393 clinicians in this Medicare group
NPI 1598992554 (814) 231-7000

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 10

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.
261 services151 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.
149 services145 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.
91 services89 patients
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.
72 services54 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
34 services34 patients
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.
33 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Inspira Medical Center Vineland

Acute Care Hospitals · Vineland, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310032
Location1505 W Sherman AveVineland, NJ 08360 · Cumberland County
Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
70%439 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
77%887 patients4/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
63%168 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%1,935 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%3,289 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
4%45 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
76%729 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
92%1,670 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
73%525 patients4/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
30%549 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
87%1,670 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
15%1,670 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 525 patients
2%525 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
11%1,670 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID E BOBMAN MD
Internal Medicine (Gastroenterology)
915 OLD FERN HILL ROAD, BUILDING B SUITE 300
WEST CHESTER, PA 19380
Chester County (610) 431-3122
RJK MEDICAL ASSOCIATES LTD
Physical Medicine & Rehabilitation
915 OLD FERN HILL ROAD, SUITE 4
WEST CHESTER, PA 19380
Chester County (610) 738-2490
WEST CHESTER GI ASSOCIATES PC
Internal Medicine (Gastroenterology)
915 OLD FERN HILL ROAD, BUILDING B SUITE 300
WEST CHESTER, PA 19380
Chester County (610) 431-3122
ROBERT J. KREB III
Physical Medicine & Rehabilitation
915 OLD FERN HILL ROAD, SUITE 4
WEST CHESTER, PA 19380
Chester County (610) 738-2480
REINA PAI BENDER MD
Internal Medicine (Gastroenterology)
915 OLD FERN HILL ROAD, BUILDING B SUITE 300
WESTCHESTER, PA 19380
Chester County (610) 431-3122
PATRICK SAJAK
Family Medicine (Sports Medicine)
915 OLD FERN HILL ROAD, SUITE 1 BUILDING B
WEST CHESTER, PA 19380
Chester County (610) 692-6280
PAMELA T DEMNICKI MD
Surgery
915 OLD FERN HILL ROAD, BUILDING B, SUITE 201
WEST CHESTER, PA 19380
Chester County (610) 436-6696
CARRIE N MILLER BAICHI MD
Internal Medicine (Gastroenterology)
915 OLD FERN HILL ROAD, BUILDING B SUITE 300
WEST CHESTER, PA 19380
Chester County (610) 431-3122

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 Chawla's NPI number?

The NPI number for Ashish Chawla is 1750346730. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Ashish Chawla located?

Ashish Chawla practices at 915 Old Fern Hill Road Building B, Suite 300, West Chester, PA 19380. The listed phone number is (610) 431-3122.

What is Ashish Chawla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ashish Chawla enrolled in Medicare?

Yes. Ashish Chawla 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 organizations bill Medicare for Ashish Chawla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashish Chawla reassigns Medicare benefits to 4 organizations: West Chester Gi Associates PC (West Chester, PA), Prospect Health Access Network, Inc. (Glen Mills, PA), Wellspan Medical Group (Christiana, PA) and Mount Nittany Medical Center Health Services Inc (State College, PA). Each 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 Chawla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashish Chawla accept?

Health plans from Oscar Health list Ashish Chawla 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 Ashish Chawla affiliated with any hospitals?

According to CMS data, Ashish Chawla is affiliated with Inspira Medical Center Vineland, Wellspan Ephrata Community Hospital and Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Ashish Chawla was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.