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DR. NILAY BHASKER THAKER D.O.
NPI 1124275334
Family Medicine - Adult Medicine in Martinsburg, WV

Active since August 20, 2008PECOS EnrolledAccepts Medicare Assignment
484 WILLIAMSPORT PIKE # 151, MARTINSBURG, WV 25404(630) 730-0302 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2024, Oct 24, 2023, Jul 30, 2019 (3 updates tracked since 2019).

About Dr. Nilay Bhasker Thaker D.o. NPPES

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

DR. NILAY BHASKER THAKER D.O. (NPI 1124275334) is an individual adult medicine provider in Martinsburg, West Virginia, licensed in Pennsylvania (OS022728) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2006).

NPPES Registry Identity

NPI1124275334
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. NILAY BHASKER THAKERCredential: D.O.
Location Address484 WILLIAMSPORT PIKE # 151Martinsburg, WV 25404-5707
Mailing Address6030 Daybreak Circle, Suite A150 Pmb 263Clarksville, MD 21029-1638 · (630) 730-0302 · Fax (304) 263-4991
Phone(630) 730-0302
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2006
Enumeration DateAugust 20, 2008
Last NPPES UpdateAugust 22, 20243 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1124275334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Licenses✔ Licensed in PA · OS022728✔ Licensed in WV · 3634
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
484 WILLIAMSPORT PIKE # 151, Martinsburg, WV 25404
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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. Nilay Bhasker Thaker D.o. 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 ID5395869861
PECOS Enrollment IDI20210630002337
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

2

Medicare enrollment records show Nilay Thaker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

PA Post Acute Services PC
181 mi
General Practice
8055 ADDISON RD
Masury, OH 44438
  • Reassigned Medicare billing, Maryland and West Virginia enrollments
  • 41 clinicians in this Medicare group
NPI 1255057063 (330) 448-2547
Womencare Inc
214 mi
Federally Qualified Health Center (FQHC)
100 FLORIDA STREET
Charleston, WV 25302
  • Reassigned Medicare billing, West Virginia enrollment
  • 83 clinicians in this Medicare group
NPI 1871872184 (304) 414-4015

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Valley Health War Memorial Hospital

Critical Access Hospitals · Berkeley Springs, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511309
Location1 Healthy WayBerkeley Springs, WV 25411 · Morgan County
Emergency services

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25404 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
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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.

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
4 suppliers21 claims21 services$729.33 avg. paid by Medicare
Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1851
DME-Orthotic Devices · category DF011N
1 supplier17 claims32 services$610.77 avg. paid by Medicare
Addition to lower extremity orthosis, suspension sleeve L2397
DME-Orthotic Devices · category DF000N
3 suppliers23 claims40 services$92.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Thaker's NPI number?

The NPI number for Nilay Thaker is 1124275334. It was assigned to this individual provider in the NPPES registry on August 20, 2008.

Where is Nilay Thaker located?

Nilay Thaker practices at 484 Williamsport Pike # 151, Martinsburg, WV 25404. The listed phone number is (630) 730-0302.

What is Nilay Thaker's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Nilay Thaker enrolled in Medicare?

Yes. Nilay Thaker 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 Nilay Thaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nilay Thaker reassigns Medicare benefits to 2 organizations: PA Post Acute Services PC (Masury, OH) and Womencare Inc (Charleston, WV). 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 Nilay Thaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nilay Thaker affiliated with any hospitals?

According to CMS data, Nilay Thaker is affiliated with Winchester Medical Center, Valley Health War Memorial Hospital and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Nilay Thaker was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.