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NIKHIL SEVAL M.D.
NPI 1033552096
Internal Medicine in New Haven, CT

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
20 YORK STREET, YNHH - IM INFECTIOUS DISEASES, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 24, 2019, Mar 17, 2018, Sep 14, 2017 and 1 more (4 updates tracked since 2016).

About Nikhil Seval M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIKHIL SEVAL M.D. (NPI 1033552096) is an individual internal medicine provider in New Haven, Connecticut, licensed in Connecticut (063799) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1033552096
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNIKHIL SEVALCredential: M.D.
Location Address20 YORK STREET, YNHH - IM INFECTIOUS DISEASESNew Haven, CT 06510-3220
Mailing Address20 York Street, Ynhh - Im Infectious DiseasesNew Haven, CT 06510-3220 · (203) 688-4242
Phone(203) 688-4242
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2013
Enumeration DateApril 9, 2013
Last NPPES UpdateSeptember 24, 20194 updates tracked since enumeration
✔ NPI 1033552096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CT · 063799✔ Licensed in NY · 284312
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
20 YORK STREET, New Haven, CT 06510
Open in Google Maps ↗

Secondary Practice Location 1

Location 1622 W 168th St Fl 2New York, NY 10032-3720 · Phone (866) 463-2778

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Nikhil Seval M.d. 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.

PECOS PAC ID6204122070
PECOS Enrollment IDI20220607000087
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Nikhil Seval reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Drexel University
135 mi
Pulmonary Disease
153 BRODHEAD RD
Bethlehem, PA 18017
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 335 clinicians in this Medicare group
NPI 1659875284 (215) 762-5511
Methodist Associates In Health Care, Inc
143 mi
Diagnostic Radiology
4900 FRANKFORD AVE
Philadelphia, PA 19124
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Methodist Associates In Healthcare, Inc
  • 600 clinicians in this Medicare group
NPI 1609417872 (215) 831-2063
Jefferson University Physicians
149 mi
General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group
NPI 1326093675 (215) 955-0000

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

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SARAH HILL LCSW
Social Worker (Clinical)
20 YORK STREET, YALE-NEW HAVEN PSYCHIATRIC HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9907
JENNIFER PALERMO MD
Student in an Organized Health Care Education/Training Program
20 YORK STREET, YNHH TOMPKINS 226
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9503
TASHA LEE CUVI APRN
Nurse Practitioner (Gerontology)
20 YORK STREET, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
JESSICA LAUREN DOLMAN MD
Hospitalist
20 YORK STREET, YNHH DEPT OF INTERNAL MEDICINE
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
EESHA VIJAYKUMAR NATARAJAN MBBS
Student in an Organized Health Care Education/Training Program
20 YORK STREET, YNHH TOMPKINS 226
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9503
NIRANJANA RAMANI MBBS
Student in an Organized Health Care Education/Training Program
20 YORK STREET, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
MRS. SHARON MOALES LCSW
Social Worker (Clinical)
20 YORK STREET, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5193
HECTOR JOSE LORA RODRIGUEZ M.D.
Student in an Organized Health Care Education/Training Program
20 YORK STREET, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242

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 Nikhil Seval's NPI number?

The NPI number for Nikhil Seval is 1033552096. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Nikhil Seval located?

Nikhil Seval practices at 20 York Street Ynhh - Im Infectious Diseases, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Nikhil Seval's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nikhil Seval enrolled in Medicare?

Yes. Nikhil Seval 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 Nikhil Seval's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikhil Seval reassigns Medicare benefits to 3 organizations: Drexel University (Bethlehem, PA), Methodist Associates In Health Care, Inc (Philadelphia, PA) and Jefferson University Physicians (Philadelphia, PA). 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 Nikhil Seval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikhil Seval accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nikhil Seval 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 Nikhil Seval affiliated with any hospitals?

According to CMS data, Nikhil Seval is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Nikhil Seval was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.