Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. NIKHILESH CHITIBOMMA
NPI 1063031896
Surgery in Beckley, WV

Q: What is Nikhilesh Chitibomma's NPI number?

The NPI number for Nikhilesh Chitibomma is 1063031896. It was assigned to this individual provider in the NPPES registry on April 12, 2020.

Q: What is Nikhilesh Chitibomma's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since April 12, 2020PECOS EnrolledAccepts Medicare Assignment

1717 HARPER RD, BECKLEY, WV 25801(973) 979-7934 Get Directions Write a Review

NPPES record last updated: October 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 17, 2026, May 26, 2022, Apr 12, 2020 (3 updates tracked since 2020).

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About Dr. Nikhilesh Chitibomma NPPES

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

DR. NIKHILESH CHITIBOMMA (NPI 1063031896) is an individual surgery provider in Beckley, West Virginia, licensed in West Virginia (37395) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063031896

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. NIKHILESH CHITIBOMMA

Location Address1717 HARPER RDBeckley, WV 25801-3373

Mailing Address1717 Harper RdBeckley, WV 25801-3373 · (130) 446-1380

Phone(973) 979-7934

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateApril 12, 2020

Last NPPES UpdateOctober 17, 20263 updates tracked since enumeration

NPPES CertifiedOctober 17, 2026

✔ NPI 1063031896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in WV · 37395

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1717 HARPER RD, Beckley, WV 25801

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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. Nikhilesh Chitibomma 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 ID6507377199

PECOS Enrollment IDI20250619002315

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 Reassignment

Medicare enrollment records show Nikhilesh Chitibomma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation

2,175 mi

Multi-Specialty

1315 ALHAMBRA BLVD STE 210
Sacramento, CA 95816

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1003267196 (916) 732-4380

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 25801 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

Most-billed visit code 99213

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.

DR. ERIK STAPLETON D.O.

Orthopaedic Surgery (Sports Medicine)

1717 HARPER RD, SECOND FLOOR STE A
BECKLEY, WV 25801

Raleigh County (681) 251-8570

DR. LUIS ALEJANDRO ASENCIO MAGDALENO M.D.

Internal Medicine (Cardiovascular Disease)

1717 HARPER RD, SECOND FLOOR, SUITE G
BECKLEY, WV 25801

Raleigh County (304) 461-3922

WILLIAM CHRISTOPHER LACOST D.O.

Orthopaedic Surgery

1717 HARPER RD, SEOND FLOOR SUITE D
BECKLEY, WV 25801

Raleigh County (304) 461-3924

ANDREW C THYMIUS D.O.

Pain Medicine (Interventional Pain Medicine)

1717 HARPER RD, 3RD FLOOR SUTIE E
BECKLEY, WV 25801

Raleigh County (304) 254-3131

RALEIGH GENERAL HOSPITAL LLC

Internal Medicine (Cardiovascular Disease)

1717 HARPER RD, SECOND FLOOR SUITE C
BECKLEY, WV 25801

Raleigh County (304) 461-3914

RALEIGH GENERAL HOSPITAL LLC

Internal Medicine

1717 HARPER RD, SUITE G
BECKLEY, WV 25801

Raleigh County (304) 461-3909

RALEIGH GENERAL HOSPITAL LLC

Internal Medicine

1717 HARPER RD, SECOND FLOOR, SUITE C
BECKLEY, WV 25801

Raleigh County (304) 461-3753

ABDRHMAN HAMO MD

Internal Medicine (Interventional Cardiology)

1717 HARPER RD, SECOND FLOOR SUITE C
BECKLEY, WV 25801

Raleigh County (304) 461-3914

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 Nikhilesh Chitibomma's NPI number?

The NPI number for Nikhilesh Chitibomma is 1063031896. It was assigned to this individual provider in the NPPES registry on April 12, 2020.

Where is Nikhilesh Chitibomma located?

Nikhilesh Chitibomma practices at 1717 Harper Rd, Beckley, WV 25801. The listed phone number is (973) 979-7934.

What is Nikhilesh Chitibomma's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nikhilesh Chitibomma enrolled in Medicare?

Yes. Nikhilesh Chitibomma 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 organization bills Medicare for Nikhilesh Chitibomma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikhilesh Chitibomma reassigns Medicare benefits to Sutter Bay Medical Foundation (Sacramento, CA). The 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 Nikhilesh Chitibomma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nikhilesh Chitibomma was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.