DR. AKASH BHUPENDRA GADANI MD
NPI 1821354903
Internal Medicine - Gastroenterology in Pittsburgh, PA

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

Active since April 03, 2012PECOS EnrolledAccepts Medicare Assignment

93.78/100

CMS Quality Rating

1307 FEDERAL ST STE B100, PITTSBURGH, PA 15212(412) 359-8900(412) 359-8977 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 16, 2020, Oct 5, 2020, Jul 16, 2018 and 1 more (4 updates tracked since 2016).

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About Dr. Akash Bhupendra Gadani Md NPPES

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

DR. AKASH BHUPENDRA GADANI MD (NPI 1821354903) is an individual gastroenterology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD463847) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1821354903

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. AKASH BHUPENDRA GADANICredential: MD

Location Address1307 FEDERAL ST STE B100Pittsburgh, PA 15212

Mailing Address1307 Federal St Ste B100Pittsburgh, PA 15212-4761 · (412) 359-8900 · Fax (412) 359-8977

Phone(412) 359-8900

Fax(412) 359-8977

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 3, 2012

Last NPPES UpdateNovember 16, 20204 updates tracked since enumeration

NPPES CertifiedNovember 16, 2020

✔ NPI 1821354903 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 · MD463847

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.

1307 FEDERAL ST STE B100, Pittsburgh, PA 15212

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Other Identifiers 2

Other14268254Caqh

Medicaid103238506PA

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. Akash Bhupendra Gadani Md 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 ID648568816

PECOS Enrollment IDI20180731002585

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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.

53 services48 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

50 services50 patients

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.

43 services32 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.

39 services38 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.

37 services37 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.

35 services34 patients

Hospital Affiliations CMS Care Compare 4

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

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390050

Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County

Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390090

Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County

Emergency services Birthing friendly

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390265

Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County

Emergency services Birthing friendly

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390334

Location12351 Perry HighwayWexford, PA 15090 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

93.78/100

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

Scored through an Alternative Payment Model

Quality

85.07

Promoting Interoperability

100

Improvement Activities

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.

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Internal Medicine (Gastroenterology)