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DR. HEMAVARNA TIRUVURY M.D.
NPI 1942436340
Internal Medicine - Infectious Disease in Edison, NJ

Active since June 01, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
225 MAY ST STE F, EDISON, NJ 08837(732) 738-8855 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Hemavarna Tiruvury M.d. NPPES

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

DR. HEMAVARNA TIRUVURY M.D. (NPI 1942436340) is an individual infectious disease provider in Edison, New Jersey, licensed in New Jersey (25MA08847000) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1942436340
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. HEMAVARNA TIRUVURYCredential: M.D.
Location Address225 MAY ST STE FEdison, NJ 08837-3266
Mailing Address225 May St Ste FEdison, NJ 08837-3266 · (732) 738-8855
Phone(732) 738-8855
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 1, 2009
Last NPPES UpdateJune 9, 2015
✔ NPI 1942436340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NJ · 25MA08847000
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA08847000 (NJ)
225 MAY ST STE F, Edison, NJ 08837
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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. Hemavarna Tiruvury 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 ID9931387420
PECOS Enrollment IDI20110705000426
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 2

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.
731 services167 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.
182 services165 patients

Hospital Affiliations CMS Care Compare

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08837 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 4

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

ALLYSON NAIKEN
Nurse Practitioner
225 MAY ST STE F
EDISON, NJ 08837
Middlesex County (732) 738-8855
JIN FENG FANNIE ZHENG APN
Nurse Practitioner (Gerontology)
225 MAY ST STE F
EDISON, NJ 08837
Middlesex County (732) 738-8855
ROBERT PLATSCHEK APN
Nurse Practitioner (Family)
225 MAY ST STE F
EDISON, NJ 08837
Middlesex County (732) 738-8855
GINA LEKA
Nurse Practitioner
225 MAY ST STE F
EDISON, NJ 08837
Middlesex County (732) 738-8855

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 Hemavarna Tiruvury's NPI number?

The NPI number for Hemavarna Tiruvury is 1942436340. It was assigned to this individual provider in the NPPES registry on June 1, 2009.

Where is Hemavarna Tiruvury located?

Hemavarna Tiruvury practices at 225 May St Ste F, Edison, NJ 08837. The listed phone number is (732) 738-8855.

What is Hemavarna Tiruvury's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Hemavarna Tiruvury enrolled in Medicare?

Yes. Hemavarna Tiruvury 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.

What insurance does Hemavarna Tiruvury accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Hemavarna Tiruvury 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 Hemavarna Tiruvury affiliated with any hospitals?

According to CMS data, Hemavarna Tiruvury is affiliated with Raritan Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Hemavarna Tiruvury was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.