DR. AMAR GAUTAM NANAVATI M.D.
NPI 1871756791
Hospitalist in Philadelphia, PA

Active since July 10, 2008PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
1360 WEST ONTARIO STREET, JONES HALL 9TH FLOOR, PHILADELPHIA, PA 19140(609) 320-7856 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 19, 2020, Jul 28, 2020 (2 updates tracked since 2020).

About Dr. Amar Gautam Nanavati M.d. NPPES

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

DR. AMAR GAUTAM NANAVATI M.D. (NPI 1871756791) is an individual hospitalist provider in Philadelphia, Pennsylvania, licensed in New Jersey (25MA09165900) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Virtua Mount Holly Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1871756791
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. AMAR GAUTAM NANAVATICredential: M.D.
Location Address1360 WEST ONTARIO STREET, JONES HALL 9TH FLOORPhiladelphia, PA 19140
Mailing Address1360 West Ontario Street, Jones Hall 9th FloorPhiladelphia, PA 19140 · (609) 320-7856
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 10, 2008
Last NPPES UpdateOctober 19, 20202 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
✔ NPI 1871756791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NJ · 25MA09165900
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 ListedInternal MedicineTaxonomy 207R00000X · License MD443502 (PA)
1360 WEST ONTARIO STREET, Philadelphia, PA 19140

Secondary Practice Locations 3

Location 190 Brick RdMarlton, NJ 08053-2177 · Phone (856) 355-6000 · Fax (856) 355-6731
Location 2175 Madison AveMount Holly, NJ 08060-2099 · Phone (609) 914-6000 · Fax (609) 914-6182
Location 3100 Bowman DrVoorhees, NJ 08043-9612 · Phone (856) 247-3000 · Fax (856) 247-2597

Accepted 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

Dr. Amar Gautam Nanavati 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 ID1658544564
PECOS Enrollment IDI20111109000092, I20140110000151
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 Amar Nanavati reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
51 N 39TH ST
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 752 clinicians in this Medicare group
Urgent Care
602 W CUTHBERT BLVD UNIT 26 STE A
Haddon Township, NJ 08108
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group

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

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.
20 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Amar Nanavati's NPI number?

The NPI number for Amar Nanavati is 1871756791. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Where is Amar Nanavati located?

Amar Nanavati practices at 1360 West Ontario Street Jones Hall 9th Floor, Philadelphia, PA 19140. The listed phone number is (609) 320-7856.

What is Amar Nanavati's specialty?

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

Is Amar Nanavati enrolled in Medicare?

Yes. Amar Nanavati 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 Amar Nanavati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amar Nanavati reassigns Medicare benefits to 3 organizations: University Of Penn-Medical Group (Philadelphia, PA), Virtua Medical Group, PA (Haddon Township, NJ) and Advocare, LLC (Marlton, NJ). 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 Amar Nanavati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amar Nanavati accept?

Health plans from Oscar Health list Amar Nanavati 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 Amar Nanavati affiliated with any hospitals?

According to CMS data, Amar Nanavati is affiliated with Virtua Mount Holly Hospital and Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Amar Nanavati was last updated on October 19, 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.