Hitesh Pandya, MD
NPI 1407865272 · Psychiatry Physician · Fond Du Lac, WI
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hitesh Pandya, MD is a Psychiatry Physician provider in Fond Du Lac, WI (NPI 1407865272).
Provider details
- NPI number
- 1407865272
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 44346 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
16 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 16 | $161 |
Typical Medicare-allowed amounts for these services range $161–$161 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 500 W. Fort StCrh 2nd FloorBoise, ID 83702-4501Phone: (208) 422-1018
Registry dates
- Enumerated
- 2006-08-07
- Last updated
- 2024-11-20
- Certified
- 2024-11-19
Frequently asked questions
- What is Hitesh Pandya's NPI number?
- Hitesh Pandya's National Provider Identifier (NPI) is 1407865272, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hitesh Pandya's specialty?
- Hitesh Pandya is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Hitesh Pandya located?
- Hitesh Pandya's practice location on file with NPPES is 430 E Division St, Fond Du Lac, WI 54935-4560.
- What is Hitesh Pandya's phone number?
- The practice phone number listed in the NPPES registry for Hitesh Pandya is (920) 926-4200.
- Does Hitesh Pandya accept Medicare?
- Hitesh Pandya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hitesh Pandya's NPI active?
- Yes — Hitesh Pandya's NPI (1407865272) is active in the NPPES registry as of the last update on 2024-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.