DR. VAIBHAV WADHWA M.D.
NPI 1962817767
Internal Medicine - Gastroenterology in Houston, TX

Q: What is Vaibhav Wadhwa's NPI number?

The NPI number for Vaibhav Wadhwa is 1962817767. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Q: What is Vaibhav Wadhwa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Vaibhav Wadhwa was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 01, 2014PECOS EnrolledAccepts Medicare Assignment

82.38/100

CMS Quality Rating

6431 FANNIN ST, HOUSTON, TX 77030(713) 500-6683 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2021, Jul 2, 2020, Feb 23, 2018 (3 updates tracked since 2018).

On this page

About Dr. Vaibhav Wadhwa M.d. NPPES

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

DR. VAIBHAV WADHWA M.D. (NPI 1962817767) is an individual gastroenterology provider in Houston, Texas, licensed in Texas (T3211) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962817767

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. VAIBHAV WADHWACredential: M.D.

Location Address6431 FANNIN STHouston, TX 77030-1501

Mailing Address6431 Fannin StHouston, TX 77030-1501 · (713) 500-6683

Phone(713) 500-6683

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 1, 2014

Last NPPES UpdateOctober 19, 20213 updates tracked since enumeration

NPPES CertifiedOctober 19, 2021

✔ NPI 1962817767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in TX · T3211✔ Licensed in FL · TRN24096

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 57.024134 (OH)

6431 FANNIN ST, Houston, TX 77030

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1330 Brookline AveBoston, MA 02215-5491 · Phone (617) 667-2136

Location 22950 Cleveland Clinic BlvdWeston, FL 33331-3609 · Phone (954) 659-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Vaibhav Wadhwa 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 ID4880956267

PECOS Enrollment IDI20210929002080

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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

34 services26 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.

21 services13 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

19 services16 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

18 services15 patients

Exam of common bile and/or pancreatic duct using a flexible endoscope 43273

This procedure, known as an ERCP, involves a flexible tube with a camera, called an endoscope, being gently passed down your throat to examine your common bile or pancreatic duct. It helps doctors diagnose and treat conditions affecting these areas.

17 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450068

Location6411 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Harris Health System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450289

Location2525 Holly HallHouston, TX 77054 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

82.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.23

Promoting Interoperability

100

Improvement Activities

Cost

58.5

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.

DR. STUART MASON FRASER M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

6431 FANNIN ST, MSB 3.151
HOUSTON, TX 77030

Harris County (713) 500-5800

AMY ROSSI MD

Emergency Medicine

6431 FANNIN ST, JJL 431
HOUSTON, TX 77030

Harris County (713) 500-7882

MATTHEW KHOA NGUYEN

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-6113

MARY WAYNE PELTIER MD

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-5010

HANNA MAVRIC DO

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-7882

DR. DAVIDE CATTANO MD

Anesthesiology

6431 FANNIN ST, MSB 5.020
HOUSTON, TX 77030

Harris County (713) 500-6235

MICHAEL ANTHONY HOLZMAN

Orthopaedic Surgery

6431 FANNIN ST, SUITE JJL 310
HOUSTON, TX 77030

Harris County (713) 500-5154

SHUBHANGI MEHRA

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-0798

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 Vaibhav Wadhwa's NPI number?

The NPI number for Vaibhav Wadhwa is 1962817767. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Vaibhav Wadhwa located?

Vaibhav Wadhwa practices at 6431 Fannin St, Houston, TX 77030. The listed phone number is (713) 500-6683.

What is Vaibhav Wadhwa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Vaibhav Wadhwa enrolled in Medicare?

Yes. Vaibhav Wadhwa 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 Vaibhav Wadhwa accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Vaibhav Wadhwa 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 Vaibhav Wadhwa affiliated with any hospitals?

According to CMS data, Vaibhav Wadhwa is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System and Harris Health System.

When was this NPI record last updated?

The NPPES record for Vaibhav Wadhwa was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.