DR. NILAY NIRDOSH MD
NPI 1033593090
Hospitalist in Marietta, GA

Active since July 18, 2015PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
2540 WINDY HILL RD SE, MARIETTA, GA 30067(770) 644-1000(770) 793-7755 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nilay Nirdosh Md NPPES

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

DR. NILAY NIRDOSH MD (NPI 1033593090) is an individual hospitalist provider in Marietta, Georgia, licensed in Georgia (91013) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1033593090
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. NILAY NIRDOSHCredential: MD
Location Address2540 WINDY HILL RD SEMarietta, GA 30067-8605
Mailing Address2540 Windy Hill Rd SeMarietta, GA 30067-8605 · (770) 644-1000 · Fax (770) 793-7755
Fax(770) 793-7755
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 18, 2015
Last NPPES UpdateJune 29, 2022
NPPES CertifiedJune 29, 2022
NPI 1033593090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in GA · 91013
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125.066120 (IL)
2540 WINDY HILL RD SE, Marietta, GA 30067

Secondary Practice Location 1

Location 14646 N Marine DrChicago, IL 60640-5759 · Phone (773) 878-8700

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nilay Nirdosh 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.

PECOS PAC ID1951646587
PECOS Enrollment IDI20220316001218
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
357 services50 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
232 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
34 services18 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
26 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30067 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers21 claims21 services$18.01 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier20 claims20 services$916.51 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers33 claims33 services$102.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychiatry & Neurology (Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Radiology (Diagnostic Radiology)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Radiology (Diagnostic Radiology)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Radiology (Diagnostic Radiology)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Nurse Anesthetist, Certified Registered
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Anesthesiology
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Physical Therapist
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Nurse Practitioner (Psychiatric/Mental Health)
2540 WINDY HILL RD SE
MARIETTA, GA 30067

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 Nilay Nirdosh's NPI number?

The NPI number for Nilay Nirdosh is 1033593090. It was assigned to this individual provider in the NPPES registry on July 18, 2015.

Where is Nilay Nirdosh located?

Nilay Nirdosh practices at 2540 Windy Hill Rd SE, Marietta, GA 30067. The listed phone number is (770) 644-1000.

What is Nilay Nirdosh's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nilay Nirdosh enrolled in Medicare?

Yes. Nilay Nirdosh 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.

What insurance does Nilay Nirdosh accept?

Health plans from Alliant Health Plans, Inc. list Nilay Nirdosh 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 Nilay Nirdosh affiliated with any hospitals?

According to CMS data, Nilay Nirdosh is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center, Piedmont Hospital, Wellstar Cobb Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Nilay Nirdosh was last updated on June 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.