AMAR VIJAY AMBARDEKAR (D.O.) – Internal Medicine Physician, NPI 1164647376

AMAR VIJAY AMBARDEKAR (D.O.) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 53070 (WI). The NPI Number for AMAR VIJAY AMBARDEKAR (D.O.) is 1164647376

Main info

Male
19 Years Of Experience
Name
AMAR VIJAY AMBARDEKAR (D.O.)
NPI
1164647376
Phone
(414) 352-3100
Address
3003 W GOOD HOPE RD
Enumeration Date
13 April 2007
Last Update Date
19 November 2021

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
2629487000
Graduation Year
2007 (19 years ago)
PAC ID
1557494176
Group Practice PAC ID
5597133264
Professional Enrollment ID
I20100803001203
Address ID
WI531427884KE10400STXX300

Contacts

Secure Messaging
aambardekar8160@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,941 INTERNAL MEDICINE in WI

Provider Addresses for AMAR VIJAY AMBARDEKAR (D.O.)

  • 3003 W GOOD HOPE RD

    MILWAUKEE, WI 532092042

    Phone: (414) 352-3100

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-08-03

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
I20100803001203IInternal MedicineWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes309147$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8989$0
93793Anticoagulant management of patient taking warfarin7129$0
G0008Administration of influenza virus vaccine6261$0
83036Hemoglobin a1c level5939$0
View full utilization report →

Insurance plans in this area (ZIP 53209)

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Provider's Procedures

AMAR VIJAY AMBARDEKAR (D.O.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEWI90670Pneumococcal vaccine for injection into muscle3535

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: 5597133264View full group profile
NameSpecialtyState
Internal MedicineWI
Internal MedicineWI
Internal MedicineIL
Internal MedicineWI
Internal MedicineIL
Internal MedicineWI
Family PracticeWI
Internal MedicineKY
Family PracticeWI
Family PracticeIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for AMAR VIJAY AMBARDEKAR (D.O.)?
AMAR VIJAY AMBARDEKAR (D.O.) — NPI 1164647376 — is the standard way to identify this listing.
Is AMAR VIJAY AMBARDEKAR (D.O.) listed as active for patients and plans?
The listing shows AMAR VIJAY AMBARDEKAR (D.O.) as active in the NPI system.
What taxonomy line describes AMAR VIJAY AMBARDEKAR (D.O.)?
For research purposes, treat AMAR VIJAY AMBARDEKAR (D.O.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does AMAR VIJAY AMBARDEKAR (D.O.) list a practice location?
Patients near Milwaukee, Wisconsin may find AMAR VIJAY AMBARDEKAR (D.O.) in results; validate coverage separately.
Why does AMAR VIJAY AMBARDEKAR (D.O.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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