DR. NISHANT VERMA MD, MPH NPI 1013162817

Internal Medicine (Clinical Cardiac Electrophysiology) in Chicago, IL

NPI 1013162817 Individual Male Years of Experience 14 Internal Medicine Clinical Cardiac Electrophysiology PECOS Enrolled Accepts Medicare Approved Payment

About NISHANT VERMA

Nishant Verma is an internal medicine provider established in Chicago, Illinois and his medical specialization is internal medicine (clinical cardiac electrophysiology) with more than 14 years of experience. He graduated from Columbia University College Of Physicians And Surgeons in 2008. The NPI number of Nishant Verma is 1013162817 and was assigned on November 2008. The practitioner's primary taxonomy code is 207RC0001X with license number 036-127644 (IL). The provider is registered as an individual and his NPI record was last updated 6 years ago.

An internist like Dr. Nishant Verma Md, Mph is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Nishant Verma is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Nishant Verma is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Northwestern Memorial Hospital and Northwestern Lake Forest Hospital.

NPI

1013162817

Provider NameDR. NISHANT VERMA MD, MPH
Provider Location Address675 N. ST. CLAIR GALTER 19-100 CHICAGO, IL 60611
Provider Mailing Address675 N. ST. CLAIR GALTER 19-100 CHICAGO, IL 60611
GenderMale
NPI Entity TypeIndividual
Medical School NameCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year2008
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date11-20-2008
Last Update Date08-03-2015


Primary Taxonomy

Taxonomy Code207RC0001X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationClinical Cardiac Electrophysiology
License No.036-127644
License StateIL
Taxonomy DescriptionA field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Business Address

DR. NISHANT VERMA MD, MPH
675 N. ST. CLAIR
GALTER 19-100
CHICAGO, IL
ZIP 60611
Phone: (312) 695-4965

Get Directions


Mailing Address

DR. NISHANT VERMA MD, MPH
675 N. ST. CLAIR
GALTER 19-100
CHICAGO, IL
ZIP 60611
Phone: (312) 695-4965



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID3779895594
PECOS Enrollment IDI20150708001780
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 44Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 29Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
  • 14Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes (HCPCS:33208)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nishant Verma is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NORTHWESTERN MEMORIAL HOSPITAL251 E HURON ST
CHICAGO, IL 60611
(312) 926-2000Acute Care Hospitals140281
NORTHWESTERN LAKE FOREST HOSPITAL1000 N WESTMORELAND ROAD
LAKE FOREST, IL 60045
(847) 234-5600Acute Care Hospitals140130

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease036-127644ILNo

Taxonomy Description: an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588627558 JANICE C KNUCKEY NP
Individual
Nurse Practitioner (Adult Health)675 N. ST. CLAIR SUITE 19-100
CHICAGO, IL 60611
(312) 695-4965
1639192164DR. ALPESH ASHWIN PATEL MD
Individual
Orthopaedic Surgery675 N. ST. CLAIR GALTER PAVILION 17-100
CHICAGO, IL 60611
(312) 695-6800
1548380702DR. ELIZABETH ERWAY GERARD M.D.
Individual
Psychiatry & Neurology (Neurology)675 N. ST. CLAIR GALTER 20-100
CHICAGO, IL 60611
(312) 695-7950
1306900378 MATTHEW J OBRIEN MD
Individual
Internal Medicine675 N. ST. CLAIR SUITE 18-200
CHICAGO, IL 60611
(312) 695-8630
1699279992 MALGORZATA TERESA BATKO
Individual
Social Worker675 N. ST. CLAIR GALTER PAVILION 13-141
CHICAGO, IL 60611
(312) 694-1900

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.