MR. KEVIN SHAILESH AVICHAL (PA-C) – Medical Physician Assistant, NPI 1174040539

MR. KEVIN SHAILESH AVICHAL (PA-C) is a healthcare provider. based in Bayonne, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 25MP00445700 (NJ). The NPI Number for MR. KEVIN SHAILESH AVICHAL (PA-C) is 1174040539

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEVIN SHAILESH AVICHAL (PA-C)
NPI
1174040539
Phone
(201) 437-9700
Address
526 BROADWAY
Enumeration Date
26 August 2017
Last Update Date
2 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
5092143305
Group Practice PAC ID
5395642276
Professional Enrollment ID
I20200320000935
Address ID
NJ079222104BE1XXXXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:8State licenses:2Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

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Provider Addresses for MR. KEVIN SHAILESH AVICHAL (PA-C)

  • 526, Broadway, Port Johnson, Bayonne, Hudson County, New Jersey, 07002, United States

    BAYONNE, NJ 070023734

    Phone: (201) 437-9700

    Type: Location

  • 2317 CENTER ISLAND

    ROUTE 22

    UNION, NJ 07083

    Phone: (201) 354-1951

    Fax: (201) 354-1952

    Type: Location

  • 1244, Plane Street, Union, Union County, New Jersey, 07083, United States

    UNION, NJ 070833820

    Phone: (908) 265-7873

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Abbott Laboratories ($106).

Total Amount

$137

General + Research + Ownership

Payments

6

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200320000935IPhysician AssistantNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6560$0
J1030Injection, methylprednisolone acetate, 40 mg4214$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3533$0
20610Aspiration and/or injection of fluid from large joint3327$0
27447Replacement of knee joint, both sides of knee1816$0
View full utilization report →

Insurance plans in this area (ZIP 07002)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395642276View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MR. KEVIN SHAILESH AVICHAL (PA-C)?
NPI 1174040539 is assigned to MR. KEVIN SHAILESH AVICHAL (PA-C) under the national enumeration system.
Is MR. KEVIN SHAILESH AVICHAL (PA-C) currently active in the NPI registry?
CMS-published data lists MR. KEVIN SHAILESH AVICHAL (PA-C) as an active registrant.
Does MR. KEVIN SHAILESH AVICHAL (PA-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for MR. KEVIN SHAILESH AVICHAL (PA-C). Clinical services aligned with this taxonomy classification.
Where is MR. KEVIN SHAILESH AVICHAL (PA-C)'s primary listing?
We display Bayonne, New Jersey because that is what the record indicates for MR. KEVIN SHAILESH AVICHAL (PA-C).
What if Bayonne, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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