NIPA DANI MD
NPI 1013997212
Family Medicine in Somerset, NJ
About Nipa Dani Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIPA DANI MD (NPI 1013997212) is an individual family medicine provider in Somerset, New Jersey, licensed in New Jersey (25MA12968200) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Monroe, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 4
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
Nipa Dani Md 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 Nipa Dani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 12 clinicians in this Medicare group
Charlotte, NC 28204
- Reassigned Medicare billing, South Carolina enrollment
- 312 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08873 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.
Reported Quality Measures
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.
SOMERSET, NJ 08873
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 Nipa Dani's NPI number?
The NPI number for Nipa Dani is 1013997212. It was assigned to this individual provider in the NPPES registry on January 23, 2006. The provider is also known as Nipa Shah MD.
Where is Nipa Dani located?
Nipa Dani practices at 51 Veronica Ave, Somerset, NJ 08873. The listed phone number is (732) 846-7000.
What is Nipa Dani's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nipa Dani enrolled in Medicare?
Yes. Nipa Dani 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 Nipa Dani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nipa Dani reassigns Medicare benefits to 2 organizations: Heart & Vascular Center Of New Brunswick LLC (Somerset, NJ) and Carolinas Physicians Network Inc. (Charlotte, 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 Nipa Dani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nipa Dani accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Nipa Dani 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.
When was this NPI record last updated?
The NPPES record for Nipa Dani was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Nipa Dani, MD · NPI 1013997212
Family Medicine physician in Somerset, New Jersey. Individual provider, active in the CMS NPPES registry since January 23, 2006.
## Identity
- **NPI:** 1013997212 (Entity type: Individual)
- **Enumerated:** January 23, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 25MA12968200 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 51 VERONICA AVE, Somerset, NJ 08873-3448
- **Phone:** (732) 846-7000 · **Fax:** (732) 846-7001
## 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): Heart & Vascular Center Of New Brunswick LLC (NPI 1952424731, Somerset, NJ); Carolinas Physicians Network Inc. (NPI 1881624807, Charlotte, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** February 4, 2026
- **Other identifiers:** Medicaid 4891230 (MI); Medicaid NC1032 (SC); Medicaid 5913078 (NC); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1013997212) · Data from the CMS NPPES public registry.