Active NPI 1508026428 Individual Practitioner Male Practitioner

Dr. Kanwardeep S Arora , MD

Internal Medicine • Derby, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kanwardeep Arora, MD is a certified Internal Medicine practicing in Derby, CT. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Arora delivers high-quality medical care to the local community at 130 DIVISION ST.

Dr. Arora is affiliated with Prospect Ct Medical Foundation Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

130 Division St

Derby, CT 064181326

Telephone 2037321330

Fax 2037321332

Associated Practice Facility / Clinic

🏢 Cardiology Associates Of Derby Pc Facility NPI 1851361844

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Derby, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +5.4 yrs vs City Avg

City Avg: 18.6 Yrs

State Avg: 30.4 Yrs

Regional Practice Density

47 Specialists

Practicing in Derby, CT (2753 Statewide)

Telehealth Adoption Rate

10.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Arora (24 Years) 24 Yrs

Derby Specialty Average (18.6 Years) 18.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	132	69	$350.00	$80.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	78	39	$425.00	$120.72
99239 Hospital discharge day management, more than 30 minutes	34	34	$275.00	$116.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$650.00	$176.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$600.00	$130.77
99238 Hospital discharge day management, 30 minutes or less	18	18	$250.00	$83.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	134	51	$350.00	$82.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	72	29	$425.00	$123.46
99239 Hospital discharge day management, more than 30 minutes	42	42	$275.00	$119.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$650.00	$180.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$600.00	$135.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	133	58	$350.00	$74.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	86	45	$425.00	$107.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	45	$650.00	$201.60
99239 Hospital discharge day management, more than 30 minutes	38	37	$275.00	$109.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$600.00	$143.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	186	95	$282.26	$76.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	98	59	$330.71	$109.95
99239 Hospital discharge day management, more than 30 minutes	64	60	$230.00	$112.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	41	$536.05	$144.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	25	$557.69	$212.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	198	114	$175.00	$78.22
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	188	101	$260.00	$112.36
99239 Hospital discharge day management, more than 30 minutes	72	69	$155.00	$113.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	33	$450.00	$219.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$325.00	$149.34
99226 Subsequent observation care, typically 35 minutes per day	17	15	$225.00	$106.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	393	188	$174.58	$77.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	358	152	$260.00	$110.86
99239 Hospital discharge day management, more than 30 minutes	142	131	$155.00	$114.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	56	$450.00	$216.43
99226 Subsequent observation care, typically 35 minutes per day	28	26	$225.00	$111.91
99217 Hospital observation care on day of discharge	26	26	$165.00	$78.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$325.00	$146.74
99220 Hospital observation care, typically 70 minutes	16	16	$250.00	$198.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	425	186	$175.00	$76.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	127	75	$260.00	$109.59
99239 Hospital discharge day management, more than 30 minutes	119	116	$155.00	$114.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	45	$450.00	$215.13
99226 Subsequent observation care, typically 35 minutes per day	32	25	$225.00	$111.20
99217 Hospital observation care on day of discharge	20	20	$165.00	$77.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	12	$105.00	$41.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$325.00	$136.56
99238 Hospital discharge day management, 30 minutes or less	12	12	$135.00	$77.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	411	177	$175.00	$75.52
99239 Hospital discharge day management, more than 30 minutes	118	113	$155.00	$113.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	39	$260.00	$110.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$450.00	$214.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	16	$105.00	$41.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$325.00	$144.93
99225 Subsequent observation care, typically 25 minutes per day	12	12	$145.00	$77.05
99238 Hospital discharge day management, 30 minutes or less	12	12	$135.00	$76.98
99217 Hospital observation care on day of discharge	12	12	$165.00	$77.41

Medical Specialties & State Licenses

CMS Verified: 2020-10-19

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CT 51094

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Prospect Ct Medical Foundation Inc

18 Haynes St, Manchester, CT 060404111

Phone: 8606497557

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. William Gray , MD

Internal Medicine

NPI 1033402862

Doctor of Medicine (M.D.)

Dr. Gerald Fette , MD

Internal Medicine - Gastroenterology

NPI 1043396112

Doctor of Medicine (M.D.)

Daniel Underhill

Physician Assistant

NPI 1083251490

Dr. Mukesh Kumar , MD

Internal Medicine

NPI 1104347665

Doctor of Medicine (M.D.)

Elizabeth Starnes , APRN

Nurse Practitioner - Adult Health

NPI 1184193583

Advanced Practice Registered Nurse

Dr. Michael Sergi , MD

Surgery - Vascular Surgery

NPI 1184867723

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location October 26, 2018

Registered at 130 DIVISION ST, DERBY, CT 064181326 (Tel: 2037321330)

📍

Updated Business Mailing Address October 26, 2018

Registered at 67 MAPLE AVE, DERBY, CT 064181328 (Tel: 2037321330)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2018

Internal Medicine (License #51094 in CT)

✅

NPI Profile Active September 15, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 15, 2014

Registered at 801 BROADWAY N, FARGO, ND 581023641 (Tel: 7012342731)

📍

Updated Business Mailing Address September 15, 2014

Registered at PO BOX 2010, FARGO, ND 581220605

👤

Provider Name / Credentials Updated September 15, 2014

Recorded as KANWARDEEP ARORA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2014

Internal Medicine (License #267608 in NY)

🟢

Initial NPI Registration & Enumeration June 13, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508026428

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 13, 2008

Last Update: October 19, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

67 Maple Ave

Derby, CT 064181328

Phone: 2037321330

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.