Individual provider Active NPI

Ashwin Prafulla Pimpalwar, MD

  • Pediatric Surgery Physician
  • Richmond, VA
National Provider Identifier
1255499646
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
2017016925 Issued in MO
Practice address
5801 Bremo Rd
Richmond, VA 23226-1907
Phone
(804) 281-8303
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2017016925 MO
Pediatric Surgery Physician 2086S0120X 2017016925 MO Primary

Addresses

Primary practice location

5801 Bremo Rd
Richmond, VA 23226-1907

Mailing address

5801 Bremo Rd
Richmond, VA 23226-1907

Other practice location 1

404 N Keene St
Columbia, MO 65201-6626
Phone (573) 875-9000

Other practice location 2

6701 Fannin St
8th Floor
Houston, TX 77030-2316
Phone (832) 822-3135

Other identifiers 2

IdentifierTypeStateIssuer
207523408MedicaidMO
782345OtherMOHEALTHLINK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070309000022 MO Practitioner - General Surgery 3173626322 Reassigns benefits to 1 organization
I20080303000801 TX Practitioner - General SurgeryPractitioner - Pediatric Medicine 3173626322 Reassigns benefits to 2 organizations
I20200717001842 WI Practitioner - General Surgery 3173626322 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Jul 6, 2020 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 6, 2020 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 12, 2018 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2011 Accepting new patients
Texas Children'S Physician Group CurrentSince Sep 1, 2008 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2011 Accepting new patients
Marshfield Clinic Inc Surgery CurrentSince Jul 6, 2020 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 12, 2018 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Surgery Past Accepting new patients
Baylor College of Medicine Surgery Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1965 S Fremont Ave
Ste 300
Springfield, MO 65804
Phone (417) 820-2936

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6620 Main St
Houston, TX 77030
Phone (713) 520-8432

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6701 Fannin St
Fl 8
Houston, TX 77030
Phone (832) 822-3135

2 Greenway Plz
Ste 300
Houston, TX 77046
Phone (832) 828-3603

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Interoperability endpoints

  • Direct secure messaging: ashwin.pimpalwar@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: apimpalwar1383352@direct.bsmhealth.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1255499646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 BREMO RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 BREMO RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261907",
            "telephone_number": "804-281-8303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 N Keene St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016626",
            "country_code": "US",
            "telephone_number": "573-875-9000",
            "fax_number": "573-884-6054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Fannin St",
            "address_2": "8th Floor",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302316",
            "country_code": "US",
            "telephone_number": "832-822-3135",
            "fax_number": "832-825-3141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIMPALWAR",
        "first_name": "ASHWIN",
        "middle_name": "PRAFULLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2017016925",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MO",
            "license": "2017016925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207523408",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "782345",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.