NISHIT VAGHASIA
NPI 1194016808
Internal Medicine - Endocrinology, Diabetes & Metabolism in New Kensington, PA

Active since April 28, 2011PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
356 FREEPORT ST, NEW KENSINGTON, PA 15068(724) 367-2400 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2023, May 24, 2021 (2 updates tracked since 2021).

About Nishit Vaghasia NPPES

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

NISHIT VAGHASIA (NPI 1194016808) is an individual endocrinology, diabetes & metabolism provider in New Kensington, Pennsylvania, licensed in Pennsylvania (MD450335) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1194016808
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameNISHIT VAGHASIA
Location Address356 FREEPORT STNew Kensington, PA 15068-6071
Mailing Address356 Freeport StNew Kensington, PA 15068-6071 · (724) 367-2400
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 28, 2011
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
NPI 1194016808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in PA · MD450335
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
356 FREEPORT ST, New Kensington, PA 15068

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

Nishit Vaghasia 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 ID3779710850
PECOS Enrollment IDI20131217000752
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 8

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
219 services154 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
138 services124 patients
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.
76 services36 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.
32 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
13 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390032
Location1301 Carlisle StNatrona, PA 15065 · Allegheny County
Emergency services

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15068 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
356 FREEPORT ST, 1ST FLOOR
NEW KENSINGTON, PA 15068
Nurse Practitioner (Family)
356 FREEPORT ST
NEW KENSINGTON, PA 15068
Internal Medicine (Endocrinology, Diabetes & Metabolism)
356 FREEPORT ST
NEW KENSINGTON, PA 15068
Dietitian, Registered
356 FREEPORT ST
NEW KENSINGTON, PA 15068
Internal Medicine
356 FREEPORT ST, SUITE 205
NEW KENSINGTON, PA 15068
Dietitian, Registered
356 FREEPORT ST
NEW KENSINGTON, PA 15068
Family Medicine
356 FREEPORT ST
NEW KENSINGTON, PA 15068
Non-Pharmacy Dispensing Site
356 FREEPORT ST, 205
NEW KENSINGTON, PA 15068

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 Nishit Vaghasia's NPI number?

The NPI number for Nishit Vaghasia is 1194016808. It was assigned to this individual provider in the NPPES registry on April 28, 2011.

Where is Nishit Vaghasia located?

Nishit Vaghasia practices at 356 Freeport St, New Kensington, PA 15068. The listed phone number is (724) 367-2400.

What is Nishit Vaghasia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Nishit Vaghasia enrolled in Medicare?

Yes. Nishit Vaghasia 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.

Is Nishit Vaghasia affiliated with any hospitals?

According to CMS data, Nishit Vaghasia is affiliated with Saint Vincent Hospital, Allegheny Valley Hospital, Allegheny General Hospital, West Penn Hospital and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Nishit Vaghasia was last updated on June 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.