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HEMANTHKUMAR ATHIRAMAN MD
NPI 1821352345
Hospitalist in Mesa, AZ

Active since June 29, 2012PECOS Enrolled
92.29/100
CMS Quality Rating
1400 S DOBSON ROAD, ATTN AMANDA GUMP/HOSPITALISTS, MESA, AZ 85202(480) 543-2034(480) 543-2347 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hemanthkumar Athiraman Md NPPES

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

HEMANTHKUMAR ATHIRAMAN MD (NPI 1821352345) is an individual hospitalist provider in Mesa, Arizona, licensed in Arizona (59908) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821352345
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameHEMANTHKUMAR ATHIRAMANCredential: MD
Location Address1400 S DOBSON ROAD, ATTN AMANDA GUMP/HOSPITALISTSMesa, AZ 85202
Mailing Address1900 N Higley Road, Attn Amanda Gump/hospitalistsGilbert, AZ 85234 · (480) 543-2034 · Fax (480) 543-2647
Phone(480) 543-2034
Fax(480) 543-2347
Sole ProprietorNo
Enumeration DateJune 29, 2012
Last NPPES UpdateJuly 29, 2020
NPPES CertifiedJuly 29, 2020
✔ NPI 1821352345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in AZ · 59908
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 125062221 (IL)
Also ListedInternal MedicineTaxonomy 207R00000X · License 59908 (AZ)
1400 S DOBSON ROAD, Mesa, AZ 85202
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hemanthkumar Athiraman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Hemanthkumar Athiraman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner Hospital Based Physicians Arizona LLC
8.8 mi
Multi-Specialty
1900 N HIGLEY RD
Gilbert, AZ 85234
  • Reassigned Medicare billing, Arizona enrollment
  • 1,081 clinicians in this Medicare group
NPI 1124374822 (480) 543-2034
Ipc Healthcare Services Of Texas, PLLC
833 mi
Hospitalist
7330 SAN PEDRO AVE, STE 540
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 688 clinicians in this Medicare group
NPI 1023403011 (210) 344-7287
Lonestar Hospital Medicine Associates, PA
860 mi
Hospitalist
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 994 clinicians in this Medicare group
NPI 1518237429 (682) 622-2000

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 7

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.
232 services117 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.
111 services56 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.
55 services46 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.
42 services42 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
23 services23 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85202 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

92.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40
Cost66.94

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%27 patients5/55-star benchmark: 100%
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 20

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

YURY FOMIN MD
Hospitalist
1400 S DOBSON ROAD
MESA, AZ 85202
Maricopa County (480) 412-6788
MOUHSEN H ALHAKEEM MD
Internal Medicine (Critical Care Medicine)
1400 S DOBSON ROAD, ATTN AMANDA GUMP/HOSPITALIST
MESA, AZ 85202
Maricopa County (480) 412-6788
MR. ERIC DONG D.O.
Hospitalist
1400 S DOBSON ROAD
MESA, AZ 85202
Maricopa County (480) 412-6788
MR. SAI PRASHANTH HARANATH M.D.
Internal Medicine
1400 S DOBSON ROAD, ATTN AMANDA GUMP/ HOSPITALISTS
MESA, AZ 85202
Maricopa County (480) 543-2034
RADHA KRISHNA KOTHAPALLI MD
Hospitalist
1400 S DOBSON ROAD, ATTN BMG HOSPITALIST TEAM/AMANDA GUMP
MESA, AZ 85202
Maricopa County (480) 412-6788
DR. TRACY ERIN MCNAMARA DO
Hospitalist
1400 S DOBSON ROAD
MESA, AZ 85202
Maricopa County (480) 412-6788
AARON EMBDEN FLEGENHEIMER MD
Internal Medicine
1400 S DOBSON ROAD
MESA, AZ 85202
Maricopa County (480) 412-6788
SLAVKO ALEKSIS DO
Internal Medicine
1400 S DOBSON ROAD
MESA, AZ 85202
Maricopa County (480) 412-6788

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 Hemanthkumar Athiraman's NPI number?

The NPI number for Hemanthkumar Athiraman is 1821352345. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Hemanthkumar Athiraman located?

Hemanthkumar Athiraman practices at 1400 S Dobson Road Attn Amanda Gump/Hospitalists, Mesa, AZ 85202. The listed phone number is (480) 543-2034.

What is Hemanthkumar Athiraman's specialty?

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

Is Hemanthkumar Athiraman enrolled in Medicare?

Yes. Hemanthkumar Athiraman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Hemanthkumar Athiraman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hemanthkumar Athiraman reassigns Medicare benefits to 3 organizations: Banner Hospital Based Physicians Arizona LLC (Gilbert, AZ), Ipc Healthcare Services Of Texas, PLLC (San Antonio, TX) and Lonestar Hospital Medicine Associates, PA (Mansfield, TX). 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 Hemanthkumar Athiraman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hemanthkumar Athiraman accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Hemanthkumar Athiraman 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 Hemanthkumar Athiraman was last updated on July 29, 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.