NISHA JHALANI MD
NPI 1265674618
Internal Medicine - Cardiovascular Disease in New York, NY

Active since April 01, 2009Opted out of Medicare · through Oct 1, 2027
100/100
CMS Quality Rating
161 FORT WASHINGTON AVE, HERBERT IRVING PAVILLION - 6TH FLOOR, NEW YORK, NY 10032(212) 305-7060(212) 342-3660 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nisha Jhalani Md NPPES

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

NISHA JHALANI MD (NPI 1265674618) is an individual cardiovascular disease provider in New York, New York, licensed in New York (266069) and active in the NPI registry since April 2009. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265674618
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameNISHA JHALANICredential: MD
Location Address161 FORT WASHINGTON AVE, HERBERT IRVING PAVILLION - 6TH FLOORNew York, NY 10032-3729
Mailing Address630 W 168th St, Box 4New York, NY 10032-3725 · (212) 305-7060 · Fax (212) 342-3660
Fax(212) 342-3660
Sole ProprietorNo
Enumeration DateApril 1, 2009
Last NPPES UpdateMay 9, 2016
NPI 1265674618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 266069
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
161 FORT WASHINGTON AVE, New York, NY 10032

Other Names 1

Former Name (1)Nisha Bavalia Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Nisha Jhalani Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Pediatrics)
161 FORT WASHINGTON AVE, 7TH FLOOR
NEW YORK, NY 10032
Nurse Practitioner (Family)
161 FORT WASHINGTON AVE, ROOM 661
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Physician Assistant
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Internal Medicine (Interventional Cardiology)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Nurse Practitioner (Adult Health)
161 FORT WASHINGTON AVE, HERBERT IRVING PAVILION ROOM # 903
NEW YORK, NY 10032
Internal Medicine (Gastroenterology)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Urology
161 FORT WASHINGTON AVE, 11TH FLOOR
NEW YORK, NY 10032

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 Jhalani's NPI number?

The NPI number for Nisha Jhalani is 1265674618. It was assigned to this individual provider in the NPPES registry on April 1, 2009. The provider is also known as Nisha Bavalia MD.

Where is Nisha Jhalani located?

Nisha Jhalani practices at 161 Fort Washington Ave Herbert Irving Pavillion - 6th Floor, New York, NY 10032. The listed phone number is (212) 305-7060.

What is Nisha Jhalani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nisha Jhalani enrolled in Medicare?

No. Nisha Jhalani has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nisha Jhalani was last updated on May 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.