DR. EMMANUEL ABRAHAM NIDHIRY M.D.
NPI 1255383162
Internal Medicine - Medical Oncology in Louisville, KY

Q: What is Emmanuel Nidhiry's NPI number?

The NPI number for Emmanuel Nidhiry is 1255383162. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Emmanuel Nidhiry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Emmanuel Nidhiry was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment

4955 NORTON HEALTHCARE BLVD, LOUISVILLE, KY 40241(502) 394-6350(502) 394-6351 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2025, Nov 12, 2024, Jul 23, 2024 and 1 more (4 updates tracked since 2024).

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About Dr. Emmanuel Abraham Nidhiry M.d. NPPES

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

DR. EMMANUEL ABRAHAM NIDHIRY M.D. (NPI 1255383162) is an individual medical oncology provider in Louisville, Kentucky, licensed in Kentucky (41532) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1255383162

Entity TypeIndividualMale

Primary Taxonomy207RX0202X

Provider Legal NameDR. EMMANUEL ABRAHAM NIDHIRYCredential: M.D.

Location Address4955 NORTON HEALTHCARE BLVDLouisville, KY 40241-2832

Mailing AddressPo Box 776347 Suite 100Chicago, IL 60677-8500 · (502) 272-5062 · Fax (859) 238-2206

Phone(502) 394-6350

Fax(502) 394-6351

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateMay 17, 2006

Last NPPES UpdateMarch 18, 20254 updates tracked since enumeration

NPPES CertifiedMarch 18, 2025

✔ NPI 1255383162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

License✔ Licensed in KY · 41532

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.

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 41532 (KY), D0057545 (MD)

4955 NORTON HEALTHCARE BLVD, Louisville, KY 40241

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Secondary Practice Locations 10

Location 11373 E State Road 62 # Level1Madison, IN 47250-7328 · Phone (812) 801-0603 · Fax (812) 801-0589

Location 2301 Gordon Gutmann Blvd Ste 301Jeffersonville, IN 47130-3767 · Phone (812) 288-9969 · Fax (502) 394-1987

Location 31263 Hospital Dr NW Ste 110Corydon, IN 47112-2173 · Phone (812) 734-0912 · Fax (812) 738-8715

Location 41473 N Gardner StScottsburg, IN 47170-7751 · Phone (812) 752-8592 · Fax (812) 752-8593

Location 5850 S 28th St Ste 104Louisville, KY 40211-1223 · Phone (502) 629-2500 · Fax (502) 629-2055

Location 68033 Dixie HwyLouisville, KY 40258-1344 · Phone (502) 937-3155 · Fax (502) 935-0743

Location 7676 S Floyd St Ste 200Louisville, KY 40202-1840 · Phone (502) 629-2500 · Fax (502) 629-4445

Location 8131 Stonecrest Rd Ste 100Shelbyville, KY 40065-8163 · Phone (502) 633-7093 · Fax (502) 633-7094

Location 93991 Dutchmans Ln Ste 405Louisville, KY 40207-4723 · Phone (502) 899-3366 · Fax (502) 899-6686

Location 102355 Poplar Level Rd Ste 405Louisville, KY 40217-1389 · Phone (502) 636-7845 · Fax (502) 636-8045

Other Identifiers 10

Other000000547932Anthem Bcbs

Other000000547932KY · Anthem Bc/cs

Other000000547932KY · Anthem

Medicaid300086157IN

Other207RH0003XUnited Healthcare

Medicaid7100034410KY

Other207RH0003XTricare

Other87091KY · Coventrycares Of Kentucky

OtherC24052KY · Cumberland Healthcare

Medicaid699052500MD

Accepted Insurance

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

Dr. Emmanuel Abraham Nidhiry M.d. 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 ID840186110

PECOS Enrollment IDI20080430000156, I20240226001028

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 16

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.

232 services128 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.

198 services159 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

83 services77 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

83 services43 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.

64 services64 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.

58 services29 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

51 services51 patients

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries A9552

Fluorodeoxyglucose F-18 FDG is a radioactive drug used in PET scans. It helps doctors see how your tissues and organs are functioning. The drug is given in a specific dose, up to 45 millicuries, depending on your body size and the type of scan.

46 services46 patients

Nuclear medicine study from skull base to mid-thigh with ct scan 78815

A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.

44 services44 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

42 services42 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

40 services40 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

39 services23 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

36 services36 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

22 services19 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

16 services16 patients

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.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number150009

Location1220 Missouri AveJeffersonville, IN 47130 · Clark County

Emergency services Birthing friendly

Norton-King's Daughters' Health

Acute Care Hospitals · Madison, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150069

Location1373 East Sr 62Madison, IN 47250 · Jefferson County

Emergency services Birthing friendly

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150112

Location2400 E 17th StColumbus, IN 47201 · Bartholomew County

Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180138

Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40241 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

$162.27 typical visit price

range $52.76 – $162.27

Typical copayment $40.56 (range $13.19 – $40.56)

Most-billed visit code 99205

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

54%356 patients3/55-star benchmark: 92%

Cervical Cancer Screening

Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…

45%271 patients

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

0%528 patients1/55-star benchmark: 85%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

15%4,938 patients1/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

99%491 patients5/55-star benchmark: 99%

Oncology: Medical and Radiation - Pain Intensity Quantified

Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified

99%1,364 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

26%934 patients2/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 68% · 710 patients

Patients tobacco: 53% · 710 patients

17%139 patients1/55-star benchmark: 98%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 491 patients

1%491 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers13 claims13 services$21.27 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers31 claims31 services$115.26 avg. paid by Medicare

Capecitabine, oral, 500 mg J8521

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers14 claims1,082 services$0.76 avg. paid by Medicare

Temozolomide, oral, 5 mg J8700

Treatment-Treatment - Miscellaneous · category RX000N

1 supplier22 claims3,350 services$0.29 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

2 suppliers15 claims15 services$17.67 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

2 suppliers28 claims28 services$12.19 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS JENNIFER RAMSEY MSN, APRN

Nurse Practitioner (Family)