NIRALI JAYANTILAL BORAD M.D.
NPI 1265007165
Hospitalist in South Charleston, WV

Q: What is Nirali Borad's NPI number?

The NPI number for Nirali Borad is 1265007165. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Q: What is Nirali Borad's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nirali Borad was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 24, 2021PECOS Enrolled

4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309(304) 766-3600 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 19, 2025, Sep 15, 2021, May 24, 2021 (3 updates tracked since 2021).

On this page

About Nirali Jayantilal Borad M.d. NPPES

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

NIRALI JAYANTILAL BORAD M.D. (NPI 1265007165) is an individual hospitalist provider in South Charleston, West Virginia, licensed in West Virginia (33537) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1265007165

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameNIRALI JAYANTILAL BORADCredential: M.D.

Location Address4605 MACCORKLE AVE SWSouth Charleston, WV 25309-1311

Mailing AddressFamily Care/children's Medicine CenterCharleston, WV 25302 · (304) 414-1880 · Fax (304) 414-1886

Phone(304) 766-3600

Sole ProprietorNo

Enumeration DateMay 24, 2021

Last NPPES UpdateJune 8, 20263 updates tracked since enumeration

NPPES CertifiedJune 8, 2026

✔ NPI 1265007165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in WV · 33537

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 ListedPediatricsTaxonomy 208000000X · License 33537 (WV)

4605 MACCORKLE AVE SW, South Charleston, WV 25309

Open in Google Maps ↗

Secondary Practice Location 1

Location 1Family Care/Children's Medicine CenterCharleston, WV 25302 · Phone (304) 414-1880 · Fax (304) 414-1886

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nirali Jayantilal Borad M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Nirali Borad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ths Physician Partners Inc

Same address

Internal Medicine

4605 MACCORKLE AVE SW
South Charleston, WV 25309

Reassigned Medicare billing, West Virginia enrollment
466 clinicians in this Medicare group

NPI 1871866806 (304) 414-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

DUSTIN CRITES

Physician Assistant