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NILESH HINGARH M.D.
NPI 1265590525
Internal Medicine in Lancaster, CA

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
13.71/100
CMS Quality Rating
43845 10TH ST W, 2A, LANCASTER, CA 93534(661) 414-7677(661) 310-1686 Get Directions Write a Review

NPPES record last updated: June 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nilesh Hingarh M.d. NPPES

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

NILESH HINGARH M.D. (NPI 1265590525) is an individual internal medicine provider in Lancaster, California, licensed in California (A80963) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1265590525
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNILESH HINGARHCredential: M.D.
Location Address43845 10TH ST W, 2ALancaster, CA 93534-4800
Mailing AddressPo Box 803335Santa Clarita, CA 91380-3335 · (661) 414-7677 · Fax (661) 310-1686
Phone(661) 414-7677
Fax(661) 310-1686
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 5, 2006
Last NPPES UpdateJune 22, 2020
NPPES CertifiedJune 22, 2020
✔ NPI 1265590525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A80963
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.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License A80963 (CA)
43845 10TH ST W, Lancaster, CA 93534
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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

Nilesh Hingarh 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 ID1456454065
PECOS Enrollment IDI20070319000561
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 6

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.
3,715 services489 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.
620 services517 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.
120 services59 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.
98 services28 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.
56 services47 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93534 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

13.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost45.72

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
86%29 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.

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.

CALIFORNIA INSTITUTE OF HEALTH & SOCIAL SERVICES
Community/Behavioral Health
43845 10TH ST W, 2B
LANCASTER, CA 93534
Los Angeles County (310) 645-5227
KARIM NAGUIB A PROFESSIONAL CORPORATION
Clinic/Center (Dental)
43845 10TH ST W, #1A
LANCASTER, CA 93534
Los Angeles County (661) 948-9646
DR. LETHA GRAYSON PSY.D , LADAC
Counselor (Mental Health)
43845 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 402-1545
HEALING TOUCH REHAB, INC.
Physical Therapist
43845 10TH ST W, STE 2D
LANCASTER, CA 93534
Los Angeles County (661) 729-4231
DR. STANLEY Z COWEN M.D.
Surgery
43845 10TH ST W, SUITE 2A
LANCASTER, CA 93534
Los Angeles County (818) 709-8161
GABRIELA BRECEDA
Counselor (Mental Health)
43845 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 940-9094
STANLEY Z. COWEN, M.D., A MEDICAL CORPORATION
Surgery
43845 10TH ST W, #2A
LANCASTER, CA 93534
Los Angeles County (818) 709-8161
CALIFORNIA INSTITUE OF HEALTH & SOCIAL SERVICES, INC.
Community/Behavioral Health
43845 10TH ST W, 2B
LANCASTER, CA 93534
Los Angeles County (661) 940-9094

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 Nilesh Hingarh's NPI number?

The NPI number for Nilesh Hingarh is 1265590525. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Nilesh Hingarh located?

Nilesh Hingarh practices at 43845 10th St W 2A, Lancaster, CA 93534. The listed phone number is (661) 414-7677.

What is Nilesh Hingarh's specialty?

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

Is Nilesh Hingarh enrolled in Medicare?

Yes. Nilesh Hingarh 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.

When was this NPI record last updated?

The NPPES record for Nilesh Hingarh was last updated on June 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.