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PRATIK M VAISHNAV M.D.
NPI 1982655833
Emergency Medicine in Marietta, OH

Active since May 15, 2006PECOS Enrolled
401 MATTHEW ST, EMERGENCY DEPARTMENT, MARIETTA, OH 45750(740) 376-1939(740) 374-1693 Get Directions Write a Review

NPPES record last updated: November 8, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pratik M Vaishnav M.d. NPPES

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

PRATIK M VAISHNAV M.D. (NPI 1982655833) is an individual emergency medicine provider in Marietta, Ohio, licensed in Ohio (35087579) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982655833
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePRATIK M VAISHNAVCredential: M.D.
Location Address401 MATTHEW ST, EMERGENCY DEPARTMENTMarietta, OH 45750-1635
Mailing AddressPo Box 449Marietta, OH 45750-0449 · (740) 374-4500 · Fax (740) 374-5887
Phone(740) 376-1939
Fax(740) 374-1693
Sole ProprietorYes
Enumeration DateMay 15, 2006
Last NPPES UpdateNovember 8, 2012
✔ NPI 1982655833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 35087579
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.
401 MATTHEW ST, Marietta, OH 45750
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Other Identifiers 4

Medicaid2653203OH
Medicaid3810005301WV
OtherP01036918OH · Railroad Medicare Ptan
Medicare PINH054120OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pratik M Vaishnav M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Pratik Vaishnav reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hles Of Ohio Inc
61 mi
Emergency Medicine
1460 ORANGE ST
Coshocton, OH 43812
  • Reassigned Medicare billing, Ohio enrollment
  • 118 clinicians in this Medicare group
NPI 1508301623 (740) 622-6411
River Valley Physicians, LLC
98 mi
Multi-Specialty
15655 STATE ROUTE 170
East Liverpool, OH 43920
  • Reassigned Medicare billing, Ohio enrollment
  • 100 clinicians in this Medicare group
NPI 1891756870 (330) 386-3610

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 4

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.
99 services86 patients
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.
91 services81 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
40 services39 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.
28 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

CONSTANCE J OATES FNP
Nurse Practitioner
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 376-1939
JANELLE A THOMAS MD
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPT
MARIETTA, OH 45750
Washington County (740) 374-1400
LEXIE MULLEN MS, CCC-SLP
Speech-Language Pathologist
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1422
DR. DIANA WHEELER DO
Family Medicine
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-7700
JULIAN ADAM JOHN JAKUBOWSKI DO
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 376-1939
GEOFFREY SIROCKMAN DO
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 568-5669
PUSHPA UPRETY FNP
Nurse Practitioner (Family)
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1494
DR. DISHA SHAH MD
Student in an Organized Health Care Education/Training Program
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1400

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 Pratik Vaishnav's NPI number?

The NPI number for Pratik Vaishnav is 1982655833. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Pratik Vaishnav located?

Pratik Vaishnav practices at 401 Matthew St Emergency Department, Marietta, OH 45750. The listed phone number is (740) 376-1939.

What is Pratik Vaishnav's specialty?

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

Is Pratik Vaishnav enrolled in Medicare?

Yes. Pratik Vaishnav is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pratik Vaishnav's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratik Vaishnav reassigns Medicare benefits to 2 organizations: Hles Of Ohio Inc (Coshocton, OH) and River Valley Physicians, LLC (East Liverpool, OH). 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 Pratik Vaishnav's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pratik Vaishnav accept?

Health plans from CareSource list Pratik Vaishnav 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.

When was this NPI record last updated?

The NPPES record for Pratik Vaishnav was last updated on November 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.