1. Home
  2. Directory
  3. Wisconsin
  4. Niagara
  5. Emergency Medicine
  6. NPI Profile

NATHAN P VAKHARIA MD
NPI 1952694531
Emergency Medicine in Niagara, WI

Active since May 16, 2011PECOS EnrolledAccepts Medicare Assignment
84.56/100
CMS Quality Rating
824 A PETERSON MEMORIAL DR, NIAGARA, WI 54151(608) 843-6460 Get Directions Write a Review

NPPES record last updated: April 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nathan P Vakharia Md NPPES

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

NATHAN P VAKHARIA MD (NPI 1952694531) is an individual emergency medicine provider in Niagara, Wisconsin, licensed in Wisconsin (59487-020) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Avera Gregory Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2011).

NPPES Registry Identity

NPI1952694531
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameNATHAN P VAKHARIACredential: MD
Location Address824 A PETERSON MEMORIAL DRNiagara, WI 54151-9246
Mailing Address824 A Peterson Memorial DrNiagara, WI 54151-9246 · (608) 843-6460
Phone(608) 843-6460
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2011
Enumeration DateMay 16, 2011
Last NPPES UpdateApril 13, 2015
✔ NPI 1952694531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 59487-020
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301105329 (MI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 59487 (WI)
824 A PETERSON MEMORIAL DR, Niagara, WI 54151
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Insurance Company.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

Nathan P Vakharia 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 ID1153569827
PECOS Enrollment IDI20130608000066, I20240514000626
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
42 services41 patients
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.
35 services33 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Avera Gregory Hospital

Critical Access Hospitals · Gregory, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431338
Location110 S Logan AveGregory, SD 57533 · Gregory County
Emergency services

Hshs St Clare Memorial Hospital

Critical Access Hospitals · Oconto Falls, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521310
Location855 S Main StOconto Falls, WI 54154 · Oconto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54151 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

84.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.8
Promoting Interoperability100
Improvement Activities40
Cost58.73

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers21 claims21 services$15.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers28 claims28 services$84.48 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 Nathan Vakharia's NPI number?

The NPI number for Nathan Vakharia is 1952694531. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Nathan Vakharia located?

Nathan Vakharia practices at 824 A Peterson Memorial Dr, Niagara, WI 54151. The listed phone number is (608) 843-6460.

What is Nathan Vakharia's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nathan Vakharia enrolled in Medicare?

Yes. Nathan Vakharia 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 Nathan Vakharia accept?

Health plans from Avera Health Plans, Medica and Oscar Insurance Company list Nathan Vakharia 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 Nathan Vakharia affiliated with any hospitals?

According to CMS data, Nathan Vakharia is affiliated with Avera Gregory Hospital and Hshs St Clare Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nathan Vakharia was last updated on April 13, 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.