DR. NISHA DHANABALSAMY MBBS
NPI 1003349960
Internal Medicine in Hartford, CT
About Dr. Nisha Dhanabalsamy Mbbs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NISHA DHANABALSAMY MBBS (NPI 1003349960) is an individual internal medicine provider in Hartford, Connecticut, licensed in Connecticut (073997) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Nisha Dhanabalsamy Mbbs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Nisha Dhanabalsamy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 clinicians in this Medicare group
Elizabeth City, NC 27909
- Reassigned Medicare billing, North Carolina enrollment
- 176 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ecu Health Medical Center
Acute Care Hospitals · Greenville, NCCarolina East Medical Center
Acute Care Hospitals · New Bern, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HARTFORD, CT 06102
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nisha Dhanabalsamy's NPI number?
The NPI number for Nisha Dhanabalsamy is 1003349960. It was assigned to this individual provider in the NPPES registry on April 7, 2017.
Where is Nisha Dhanabalsamy located?
Nisha Dhanabalsamy practices at 80 Seymour St, Hartford, CT 06102. The listed phone number is (860) 972-0549.
What is Nisha Dhanabalsamy's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Nisha Dhanabalsamy enrolled in Medicare?
Yes. Nisha Dhanabalsamy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nisha Dhanabalsamy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Dhanabalsamy reassigns Medicare benefits to 2 organizations: Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT) and Usacs Integrated Acute Care Services Of North Carolina, PLLC (Elizabeth City, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nisha Dhanabalsamy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nisha Dhanabalsamy accept?
Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Nisha Dhanabalsamy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Nisha Dhanabalsamy affiliated with any hospitals?
According to CMS data, Nisha Dhanabalsamy is affiliated with Ecu Health Medical Center and Carolina East Medical Center.
When was this NPI record last updated?
The NPPES record for Nisha Dhanabalsamy was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Nisha Dhanabalsamy, MBBS · NPI 1003349960
Internal Medicine physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since April 7, 2017.
## Identity
- **NPI:** 1003349960 (Entity type: Individual)
- **Enumerated:** April 7, 2017
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 073997 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 80 SEYMOUR ST, Hartford, CT 06102-8000
- **Phone:** (860) 972-0549
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT); Usacs Integrated Acute Care Services Of North Carolina, PLLC (NPI 1437869302, Elizabeth City, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** July 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1003349960) · Data from the CMS NPPES public registry.