Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PRASHANT VAISHNAVA M.D.
NPI 1942351465
Hospitalist in New York, NY

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
177 FORT WASHINGTON AVE, NEW YORK, NY 10032(212) 342-0619(212) 305-6307 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2026, May 29, 2026, May 6, 2021 (3 updates tracked since 2021).

About Dr. Prashant Vaishnava M.d. NPPES

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

DR. PRASHANT VAISHNAVA M.D. (NPI 1942351465) is an individual hospitalist provider in New York, New York, licensed in Florida (ME181302) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1942351465
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. PRASHANT VAISHNAVACredential: M.D.
Location Address177 FORT WASHINGTON AVENew York, NY 10032-3733
Mailing Address630 W 168th St # 4New York, NY 10032-3725 · (212) 342-0619 · Fax (212) 305-6307
Fax(212) 305-6307
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 12, 2007
Last NPPES UpdateOctober 14, 20263 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1942351465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · ME181302
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 225292 (MA)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 4301100294 (MI), 253971 (NY)
177 FORT WASHINGTON AVE, New York, NY 10032

Secondary Practice Location 1

Location 116261 Bass Rd Ste 300Fort Myers, FL 33908-3671 · Phone (239) 343-6410 · Fax (239) 343-4014

Other Identifiers 1

Medicaid131363500FL

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. Prashant Vaishnava 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 ID749349041
PECOS Enrollment IDI20150409002347, I20240507004446, I20260318002008, I20260519004090
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

9

Medicare enrollment records show Prashant Vaishnava reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
General Practice
506 MALCOLM X BLVD (LENOX AVE)
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
Cardiovascular Disease
1 GUSTAVE L LEVY PL
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 261 clinicians in this Medicare group
Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group
Orthopaedic Surgery
192 PARK CLUB LANE, SUITE 100
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 332 clinicians in this Medicare group
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
Family Medicine
620 S HAYNES AVE
Miles City, MT 59301
  • Reassigned Medicare billing, Montana and Wyoming enrollments
  • Also billed through NPI 1346288347 (Wyoming)
  • 1,264 clinicians in this Medicare group
Emergency Medicine
PO BOX 143
Basin, WY 82410
  • Reassigned Medicare billing, Wyoming enrollment
  • Also billed through NPI 1366432197 (Wyoming)
  • 181 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 13

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
497 services441 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.
164 services78 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.
144 services86 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
99 services99 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.
57 services57 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
30 services28 patients

Hospital Affiliations CMS Care Compare 5

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Cody Regional Health

Critical Access Hospitals · Cody, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531312
Location707 Sheridan AvenueCody, WY 82414 · Park County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

Physical Therapist
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Nurse Practitioner (Family)
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Occupational Therapist
177 FORT WASHINGTON AVE, 8 GARDEN NORTH
NEW YORK, NY 10032
Occupational Therapist
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Surgery (Surgical Critical Care)
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Physician Assistant
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
177 FORT WASHINGTON AVE, INTERNAL MEDICINE RESIDENCY OFFICE, FLOOR 6, CENTER 12
NEW YORK, NY 10032
Physician Assistant
177 FORT WASHINGTON AVE
NEW YORK, NY 10032

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 Prashant Vaishnava's NPI number?

The NPI number for Prashant Vaishnava is 1942351465. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Prashant Vaishnava located?

Prashant Vaishnava practices at 177 Fort Washington Ave, New York, NY 10032. The listed phone number is (212) 342-0619.

What is Prashant Vaishnava's specialty?

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

Is Prashant Vaishnava enrolled in Medicare?

Yes. Prashant Vaishnava 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 Prashant Vaishnava's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prashant Vaishnava reassigns Medicare benefits to 9 organizations: Trustees Of Columbia University In The City Of New York (New York, NY), Physician Affiliate Group Of New York PC (New York, NY), Harlem Medical Associates PC (New York, NY), Icahn School Of Medicine At Mount Sinai (New York, NY), Westchester Medical Center Advanced Physician Services PC (Valhalla, NY) and 4 more organizations, listed in the Medicare section above. 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 Prashant Vaishnava's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prashant Vaishnava accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of NC, CareSource (Common Ground Healthcare) and Providence Health Plan list Prashant Vaishnava 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 Prashant Vaishnava affiliated with any hospitals?

According to CMS data, Prashant Vaishnava is affiliated with Lee Memorial Hospital, Gulf Coast Medical Center Lee Health, Cape Coral Hospital, Billings Clinic and Cody Regional Health.

When was this NPI record last updated?

The NPPES record for Prashant Vaishnava was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.