DR. NISHA NATARAJ MD
NPI 1194221077
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since April 01, 2018PECOS EnrolledAccepts Medicare Assignment
101 NICOLLS RD, STONY BROOK, NY 11794(631) 689-8333 Get Directions Write a Review

NPPES record last updated: April 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nisha Nataraj Md NPPES

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

DR. NISHA NATARAJ MD (NPI 1194221077) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and is a graduate of University Of Kentucky College Of Medicine (2018).

NPPES Registry Identity

NPI1194221077
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. NISHA NATARAJCredential: MD
Location Address101 NICOLLS RDStony Brook, NY 11794-0001
Mailing Address101 Nicolls Rd Rm 20Stony Brook, NY 11794-0001 · (631) 444-7411
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2018
Enumeration DateApril 1, 2018
NPI 1194221077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 NICOLLS RD, Stony Brook, NY 11794

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. Nisha Nataraj 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 ID9032447487
PECOS Enrollment IDI20240820000061
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.

Hospital Affiliations CMS Care Compare 2

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

Holy Cross Hospital

Acute Care Hospitals · Silver Spring, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210004
Location1500 Forest Glen RoadSilver Spring, MD 20910 · Montgomery County
Birthing friendly

Holy Cross Germantown Hospital

Acute Care Hospitals · Germantown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210065
Location19801 Observation DriveGermantown, MD 20876 · Montgomery County
Emergency services Birthing friendly

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.

Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794

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 Nisha Nataraj's NPI number?

The NPI number for Nisha Nataraj is 1194221077. It was assigned to this individual provider in the NPPES registry on April 1, 2018.

Where is Nisha Nataraj located?

Nisha Nataraj practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 689-8333.

What is Nisha Nataraj's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nisha Nataraj enrolled in Medicare?

Yes. Nisha Nataraj 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 Nisha Nataraj affiliated with any hospitals?

According to CMS data, Nisha Nataraj is affiliated with Holy Cross Hospital and Holy Cross Germantown Hospital.

When was this NPI record last updated?

The NPPES record for Nisha Nataraj was last updated on April 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.