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NISHA NEPAL MD
NPI 1255919940
Hospitalist in Plymouth, MA

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment
275 SANDWICH ST, PLYMOUTH, MA 02360(508) 746-2000 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2024, Apr 1, 2021 (2 updates tracked since 2021).

About Nisha Nepal Md NPPES

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

NISHA NEPAL MD (NPI 1255919940) is an individual hospitalist provider in Plymouth, Massachusetts, licensed in Massachusetts (1018327) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital Plymouth, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255919940
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameNISHA NEPALCredential: MD
Location Address275 SANDWICH STPlymouth, MA 02360-2183
Mailing Address24 Hospital AveDanbury, CT 06810-6099
Phone(508) 746-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 1, 2021
Last NPPES UpdateNovember 6, 20242 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1255919940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MA · 1018327
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
275 SANDWICH ST, Plymouth, MA 02360
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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

Nisha Nepal 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 ID6800331851
PECOS Enrollment IDI20240715000180
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 2

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.

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.
112 services53 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
43 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Beth Israel Deaconess Hospital Plymouth

Acute Care Hospitals · Plymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220060
Location275 Sandwich StreetPlymouth, MA 02360 · Plymouth County
Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02360 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

MISS ALEXANDRA STORB KIMBALL OTR/L
Occupational Therapist
275 SANDWICH ST
PLYMOUTH, MA 02360
Plymouth County (508) 732-8700
COREY SIGNS CNM
Advanced Practice Midwife
275 SANDWICH ST
PLYMOUTH, MA 02360
Plymouth County (508) 746-2000
PATRICK LINEHAN CRNA
Nurse Anesthetist, Certified Registered
275 SANDWICH ST
PLYMOUTH, MA 02360
Plymouth County (508) 830-2113
DR. IRINA GUREVICH M.D.
Internal Medicine (Hematology & Oncology)
275 SANDWICH ST, C/O CATHY GREY
PLYMOUTH, MA 02360
Plymouth County (508) 830-2390
DR. EDGAR HENRY BALLENAS M.D.
General Acute Care Hospital (Rural)
275 SANDWICH ST
PLYMOUTH, MA 02360
Plymouth County (508) 830-2800
BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC.
Psychiatric Unit
275 SANDWICH ST
PLYMOUTH, MA 02360
Plymouth County (508) 746-2000
CHRISTINA LIQUORI FNP-C
Nurse Practitioner (Family)
275 SANDWICH ST
PLYMOUTH, MA 02360
Plymouth County (508) 746-2000
MS. EMILY ANN BUMPUS
Physician Assistant
275 SANDWICH ST
PLYMOUTH, MA 02360
Plymouth County (508) 746-2000

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 Nepal's NPI number?

The NPI number for Nisha Nepal is 1255919940. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Nisha Nepal located?

Nisha Nepal practices at 275 Sandwich St, Plymouth, MA 02360. The listed phone number is (508) 746-2000.

What is Nisha Nepal's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nisha Nepal enrolled in Medicare?

Yes. Nisha Nepal 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 Nepal affiliated with any hospitals?

According to CMS data, Nisha Nepal is affiliated with Beth Israel Deaconess Hospital Plymouth and Beth Israel Deaconess Medical Center.

When was this NPI record last updated?

The NPPES record for Nisha Nepal was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.