NIKHIL ISHWAR KHUSHALANI MD MBBS
NPI 1194758805
Internal Medicine - Medical Oncology in Buffalo, NY

Active since July 08, 2006PECOS EnrolledAccepts Medicare Assignment
89.43/100
CMS Quality Rating
ELM AND CARLTON ST, BUFFALO, NY 14263(716) 845-2300(716) 845-8935 Get Directions Write a Review

NPPES record last updated: October 25, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nikhil Ishwar Khushalani Md Mbbs NPPES

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

NIKHIL ISHWAR KHUSHALANI MD MBBS (NPI 1194758805) is an individual medical oncology provider in Buffalo, New York, licensed in New York (002695) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1194758805
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameNIKHIL ISHWAR KHUSHALANICredential: MD MBBS
Location AddressELM AND CARLTON STBuffalo, NY 14263-0001
Mailing AddressElm And Carlton StBuffalo, NY 14263-0001 · (716) 845-2300 · Fax (716) 845-8935
Fax(716) 845-8935
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 8, 2006
Last NPPES UpdateOctober 25, 2013
✔ NPI 1194758805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in NY · 002695
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
ELM AND CARLTON ST, Buffalo, NY 14263

Other Identifiers 2

Medicare PINRB1896NY
Medicaid02832222NY

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

Nikhil Ishwar Khushalani Md Mbbs 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 ID7719089937
PECOS Enrollment IDI20151222000996
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 Nikhil Khushalani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hematology & Oncology
12902 USF MAGNOLIA DR
Tampa, FL 33612
  • Reassigned Medicare billing, Florida enrollment
  • 992 clinicians in this Medicare group

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 5

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 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.
95 services65 patients
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.
31 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14263 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

89.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.84
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
ELM AND CARLTON ST
BUFFALO, NY 14263
Dentist
ELM AND CARLTON ST
BUFFALO, NY 14263
Family Medicine
ELM AND CARLTON ST
BUFFALO, NY 14263
Nurse Practitioner (Family)
ELM AND CARLTON ST
BUFFALO, NY 14263
Nurse Practitioner (Acute Care)
ELM AND CARLTON ST
BUFFALO, NY 14263
Pharmacist
ELM AND CARLTON ST
BUFFALO, NY 14263
Surgery (Surgical Oncology)
ELM AND CARLTON ST
BUFFALO, NY 14263
Internal Medicine
ELM AND CARLTON ST
BUFFALO, NY 14263

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 Nikhil Khushalani's NPI number?

The NPI number for Nikhil Khushalani is 1194758805. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Where is Nikhil Khushalani located?

Nikhil Khushalani practices at Elm And Carlton St, Buffalo, NY 14263. The listed phone number is (716) 845-2300.

What is Nikhil Khushalani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Nikhil Khushalani enrolled in Medicare?

Yes. Nikhil Khushalani 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 Nikhil Khushalani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikhil Khushalani reassigns Medicare benefits to H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc (Tampa, FL). 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 Nikhil Khushalani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikhil Khushalani accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Nikhil Khushalani 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.

When was this NPI record last updated?

The NPPES record for Nikhil Khushalani was last updated on October 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.