NATHAN P VAKHARIA MD
NPI 1952694531
Emergency Medicine in Niagara, WI
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
Specialties & Licenses 3
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Nathan Vakharia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marinette, WI 54143
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1851477913 (Wisconsin)
- 216 clinicians in this Medicare group
Oconto Falls, WI 54154
- Reassigned Medicare billing, Wisconsin enrollment
- 104 clinicians in this Medicare group
Milbank, SD 57252
- Reassigned Medicare billing, South Dakota enrollment
- Also billed through NPI 1275562027 (South Dakota)
- 1,277 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 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.
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, SDHshs St Clare Memorial Hospital
Critical Access Hospitals · Oconto Falls, WIPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Nathan Vakharia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Vakharia reassigns Medicare benefits to 3 organizations: St. Clare Memorial Hospital, Inc (Marinette, WI), Vituity-Wisconsin Em Sc (Oconto Falls, WI) and Avera Mckennan (Milbank, SD). 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 Nathan Vakharia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nathan Vakharia accept?
Health plans from Avera Health Plans, Oscar Insurance Company and Wellmark of South Dakota, Inc. 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.
# Nathan P Vakharia, MD · NPI 1952694531
Emergency Medicine physician in Niagara, Wisconsin. Individual provider, active in the CMS NPPES registry since May 16, 2011.
## Identity
- **NPI:** 1952694531 (Entity type: Individual)
- **Enumerated:** May 16, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 59487-020 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 824 A PETERSON MEMORIAL DR, Niagara, WI 54151-9246
- **Phone:** (608) 843-6460
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St. Clare Memorial Hospital, Inc (NPI 1962861294, Marinette, WI); Vituity-Wisconsin Em Sc (NPI 1710754296, Oconto Falls, WI); Avera Mckennan (NPI 1548272818, Milbank, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** April 13, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1952694531) · Data from the CMS NPPES public registry.