NIKHILESH RAJ THAPA
NPI 1205464963
Internal Medicine in Indianapolis, IN

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment
97.54/100
CMS Quality Rating
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256(317) 621-6262 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2023, Mar 30, 2020 (2 updates tracked since 2020).

About Nikhilesh Raj Thapa NPPES

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

NIKHILESH RAJ THAPA (NPI 1205464963) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (02007453A) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205464963
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNIKHILESH RAJ THAPA
Location Address7150 CLEARVISTA DRIndianapolis, IN 46256-1695
Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
NPI 1205464963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IN · 02007453A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7150 CLEARVISTA DR, Indianapolis, IN 46256

Accepted Insurance

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

Nikhilesh Raj Thapa 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 ID3375965809
PECOS Enrollment IDI20230908001067
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
212 services209 patients

Hospital Affiliations CMS Care Compare 3

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

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150113
Location1515 N Madison AveAnderson, IN 46011 · Madison County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46256 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

97.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.21
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.

Anesthesiology
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Nurse Anesthetist, Certified Registered
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Nurse Anesthetist, Certified Registered
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Nurse Practitioner (Family)
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Physician Assistant
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Pediatrics (Neonatal-Perinatal Medicine)
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Nurse Practitioner (Family)
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Anesthesiology
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256

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 Nikhilesh Thapa's NPI number?

The NPI number for Nikhilesh Thapa is 1205464963. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Nikhilesh Thapa located?

Nikhilesh Thapa practices at 7150 Clearvista Dr, Indianapolis, IN 46256. The listed phone number is (317) 621-6262.

What is Nikhilesh Thapa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nikhilesh Thapa enrolled in Medicare?

Yes. Nikhilesh Thapa 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.

What insurance does Nikhilesh Thapa accept?

Health plans from CareSource list Nikhilesh Thapa 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 Nikhilesh Thapa affiliated with any hospitals?

According to CMS data, Nikhilesh Thapa is affiliated with Community Hospital East, Community Hospital Of Anderson And Madison County and Community Hospital North.

When was this NPI record last updated?

The NPPES record for Nikhilesh Thapa was last updated on September 6, 2023. 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.