Individual provider Active NPI

Hardik A Vashi, DO

  • Interventional Pain Medicine Physician
  • Kenosha, WI
National Provider Identifier
1225019243
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
45727 Issued in WI
Practice address
7401 104TH Ave
Suite 110
Kenosha, WI 53142-7845
Phone
(262) 764-5595
Fax
(262) 764-9314
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 45727 WI
Interventional Pain Medicine Physician 208VP0014X 45727 WI Primary

Addresses

Primary practice location

7401 104TH Ave
Suite 110
Kenosha, WI 53142-7845

Mailing address

7401 104TH Ave
Suite 110
Kenosha, WI 53142-7845
Phone (262) 764-5595

Other identifiers 1

IdentifierTypeStateIssuer
43506000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120717000443 WI Practitioner - Physical Medicine and Rehabilitation 3173789252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians
Comprehensive Orthopaedics SCGroup PAC ID 3375445497, 21 clinicians

Practice addresses (Care Compare)

10222 74TH St
Suite 211
Kenosha, WI 53142-6810
Phone (262) 925-5020

3620 57TH Ave
Suite 400
Kenosha, WI 53144-4925
Phone (262) 925-5250

5024 Green Bay Rd
Kenosha, WI 53144-1702
Phone (419) 221-6717

7137 236TH Ave
Suite 101
Salem, WI 53168-8975
Phone (262) 925-5060

7200 Washington Ave
Suite 103
Mount Pleasant, WI 53406-6516
Phone (262) 583-0790

7401 104TH Ave
Suite 110
Kenosha, WI 53142-7845
Phone (262) 764-5595

9809 39TH Ave
Suite 2
Pleasant Prairie, WI 53158-3733
Phone (262) 925-5080

Hospital & facility affiliations

  • Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021
  • Aurora Medical Center Kenosha Hospital, Kenosha, WI, CCN 520189
  • Aurora Memorial Hospital Burlington Hospital, Burlington, WI, CCN 520059

Merit-based Incentive Payment System (MIPS)

Final score
15.63 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
52.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0641SCMDMental Health Counselor
45727WIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Orthopaedics SC CurrentSince Jul 14, 2003 Accepting new patients
Comprehensive Orthopaedics SC Physical Medicine & Rehabilitation CurrentSince Jul 14, 2003 Accepting new patients
Froedtert South, Inc. Interventional Pain Medicine Past Accepting new patients

Locations

1757 Milwaukee Ave
#B
Burlington, WI 53105
Phone (262) 764-5595

7401 104th Ave
#110
Kenosha, WI 53142
Phone (262) 764-5595

6804 Green Bay Rd
Ste 108
Kenosha, WI 53142
Phone (262) 697-6323

7401 104th Ave
#100
Kenosha, WI 53142
Phone (262) 697-1006

Interoperability endpoints

  • Direct secure messaging: hardik.vashi.p1@direct.comportho.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1225019243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 104TH AVE",
            "address_2": "SUITE 110",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427845",
            "telephone_number": "262-764-5595",
            "fax_number": "262-764-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 104TH AVE",
            "address_2": "SUITE 110",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427845",
            "telephone_number": "262-764-5595",
            "fax_number": "262-764-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASHI",
        "first_name": "HARDIK",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "45727",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WI",
            "license": "45727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43506000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.