NISHA DHAWLIKAR GOSAI MD
NPI 1235620634
Ophthalmology in Pittsburgh, PA

Q: What is Nisha Gosai's NPI number?

The NPI number for Nisha Gosai is 1235620634. It was assigned to this individual provider in the NPPES registry on May 22, 2018. The provider is also known as Nisha Dhawlikar MD.

Q: What is Nisha Gosai's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nisha Gosai was last updated on January 18, 2024. 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.

Active since May 22, 2018PECOS EnrolledAccepts Medicare Assignment

1000 BOWER HILL RD # 7200, PITTSBURGH, PA 15243(412) 572-6121(412) 571-1327 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2022, Apr 29, 2019, May 22, 2018 (3 updates tracked since 2018).

On this page

About Nisha Dhawlikar Gosai Md NPPES

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

NISHA DHAWLIKAR GOSAI MD (NPI 1235620634) is an individual ophthalmology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD481371) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Connellsville, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2018).

NPPES Registry Identity

NPI1235620634

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameNISHA DHAWLIKAR GOSAICredential: MD

Location Address1000 BOWER HILL RD # 7200Pittsburgh, PA 15243-1873

Mailing Address1000 Bower Hill Rd # 7200Pittsburgh, PA 15243-1873 · (412) 572-6121 · Fax (412) 571-1327

Phone(412) 572-6121

Fax(412) 571-1327

Sole ProprietorNo

Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2018

Enumeration DateMay 22, 2018

Last NPPES UpdateJanuary 18, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2024

✔ NPI 1235620634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in PA · MD481371✔ Licensed in NY · 314648

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedInternal MedicineTaxonomy 207R00000X · License 275707 (MA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 275707 (NM)

1000 BOWER HILL RD # 7200, Pittsburgh, PA 15243

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Other Names 1

Former Name (1)Nisha Dhawlikar Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Nisha Dhawlikar Gosai 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 ID8325394802

PECOS Enrollment IDI20230930000108

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 Reassignments

Medicare enrollment records show Nisha Gosai reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Glaucoma-Cataract Consultants, Inc.

0.3 mi

Ophthalmology

1145 BOWER HILL RD, SUITE 205
Pittsburgh, PA 15243

Reassigned Medicare billing, Pennsylvania enrollment
11 clinicians in this Medicare group

NPI 1235173097 (412) 572-6121

Icahn School Of Medicine At Mount Sinai

323 mi

Ophthalmology

5 E 98TH ST FL 7, BOX 1183
New York, NY 10029

Reassigned Medicare billing, New York enrollment
155 clinicians in this Medicare group

NPI 1437421252 (212) 241-0939

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 14

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 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.

154 services104 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

152 services90 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.

148 services137 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

128 services74 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.

115 services115 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

111 services100 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

78 services71 patients

Removal of cataract with insertion of prosthetic lens 66984

76 services44 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

68 services64 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

65 services47 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

42 services39 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

26 services21 patients

Creation of eye fluid drainage tracts in iris using a laser, per session 66761

This procedure uses a laser to create small drainage tracts in the iris, the colored part of your eye. This helps excess fluid escape, reducing pressure in the eye that can cause glaucoma. It's performed in sessions.

19 services13 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Penn Highlands Connellsville

Acute Care Hospitals · Connellsville, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390184

Location401 East Murphy AvenueConnellsville, PA 15425 · Fayette County

Emergency services

St Clair Hospital

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390228

Location1000 Bower Hill RoadPittsburgh, PA 15243 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15243 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

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Gosai's NPI number?

The NPI number for Nisha Gosai is 1235620634. It was assigned to this individual provider in the NPPES registry on May 22, 2018. The provider is also known as Nisha Dhawlikar MD.

Where is Nisha Gosai located?

Nisha Gosai practices at 1000 Bower Hill Rd # 7200, Pittsburgh, PA 15243. The listed phone number is (412) 572-6121.

What is Nisha Gosai's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Nisha Gosai enrolled in Medicare?

Yes. Nisha Gosai 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 Nisha Gosai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Gosai reassigns Medicare benefits to 2 organizations: Glaucoma-Cataract Consultants, Inc. (Pittsburgh, PA) and Icahn School Of Medicine At Mount Sinai (New York, NY). 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 Nisha Gosai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nisha Gosai accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nisha Gosai 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 Nisha Gosai affiliated with any hospitals?

According to CMS data, Nisha Gosai is affiliated with Penn Highlands Connellsville and St Clair Hospital.

When was this NPI record last updated?

The NPPES record for Nisha Gosai was last updated on January 18, 2024. 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.