NISHIT VAGHASIA
NPI 1194016808
Internal Medicine - Endocrinology, Diabetes & Metabolism in New Kensington, PA
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
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Nishit Vaghasia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Kensington, PA 15068
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,881 clinicians in this Medicare group
Beaver, PA 15009
- Reassigned Medicare billing, Pennsylvania enrollment
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 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.
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, PAAllegheny Valley Hospital
Acute Care Hospitals · Natrona, PAAllegheny General Hospital
Acute Care Hospitals · Pittsburgh, PAWest Penn Hospital
Acute Care Hospitals · Pittsburgh, PAJefferson Hospital
Acute Care Hospitals · Jefferson Hills, PAPhysician 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.
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW KENSINGTON, PA 15068
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.
Which organizations bill Medicare for Nishit Vaghasia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nishit Vaghasia reassigns Medicare benefits to 2 organizations: Allegheny Clinic (New Kensington, PA) and Pittsburgh Endocrinology PC (Beaver, 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 Nishit Vaghasia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nishit Vaghasia accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nishit Vaghasia 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 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 Jefferson Hospital.
When was this NPI record last updated?
The NPPES record for Nishit Vaghasia was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Nishit Vaghasia · NPI 1194016808
Endocrinology, Diabetes & Metabolism physician in New Kensington, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 28, 2011.
## Identity
- **NPI:** 1194016808 (Entity type: Individual)
- **Enumerated:** April 28, 2011
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **State license:** MD450335 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 356 FREEPORT ST, New Kensington, PA 15068-6071
- **Phone:** (724) 367-2400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Allegheny Clinic (NPI 1063848117, New Kensington, PA); Pittsburgh Endocrinology PC (NPI 1336076314, Beaver, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** June 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1194016808) · Data from the CMS NPPES public registry.