NIDHI S NIKHANJ MD
NPI 1275589285
Internal Medicine - Critical Care Medicine in Rockville, MD

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850(301) 279-6021(240) 453-5702 Get Directions Write a Review

NPPES record last updated: August 14, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nidhi S Nikhanj Md NPPES

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

NIDHI S NIKHANJ MD (NPI 1275589285) is an individual critical care medicine provider in Rockville, Maryland, licensed in California (A103858) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Banner Churchill Community Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1275589285
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameNIDHI S NIKHANJCredential: MD
Location Address9901 MEDICAL CENTER DRRockville, MD 20850-3357
Mailing Address1201 Seven Locks Rd, Suite 200Rockville, MD 20854-2931 · (301) 652-5771 · Fax (301) 652-6332
Fax(240) 453-5702
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 14, 2017
✔ NPI 1275589285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in CA · A103858
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License A103858 (CA), D0064560 (MD)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License A103858 (CA)
9901 MEDICAL CENTER DR, Rockville, MD 20850

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nidhi S Nikhanj 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 ID9032115738
PECOS Enrollment IDI20110808000504, I20230223000824, I20250326003541
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 Reassignments

4

Medicare enrollment records show Nidhi Nikhanj reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2601 N SPRUCE ST
Ogallala, NE 69153
  • Reassigned Medicare billing, Nebraska, Wyoming and Nevada enrollments
  • Also billed through NPI 1619464120 (Wyoming), NPI 1851196158 (Nevada)
  • 6 clinicians in this Medicare group
Multi-Specialty
615 FAIRHURST ST
Sterling, CO 80751
  • Reassigned Medicare billing, Colorado enrollment
  • 163 clinicians in this Medicare group
Clinic/Center
335 E AVENUE I
Lancaster, CA 93535
  • Reassigned Medicare billing, California enrollment
  • 1,939 clinicians in this Medicare group
Hospitalist
1680 E 120TH ST
Los Angeles, CA 90059
  • Reassigned Medicare billing, California enrollment
  • 198 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
183 services85 patients

Hospital Affiliations CMS Care Compare

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

Banner Churchill Community Hospital

Critical Access Hospitals · Fallon, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number291313
Location801 East Williams AvenueFallon, NV 89406 · Churchill County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20850 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Social Worker
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Pharmacist (Pharmacotherapy)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Internal Medicine
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Pediatrics (Neonatal-Perinatal Medicine)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Physician Assistant (Surgical)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Counselor (Professional)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Pediatrics
9901 MEDICAL CENTER DR, PEDIATRIC FLOOR
ROCKVILLE, MD 20850
Physician Assistant (Medical)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850

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 Nidhi Nikhanj's NPI number?

The NPI number for Nidhi Nikhanj is 1275589285. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Nidhi Nikhanj located?

Nidhi Nikhanj practices at 9901 Medical Center Dr, Rockville, MD 20850. The listed phone number is (301) 279-6021.

What is Nidhi Nikhanj's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Nidhi Nikhanj enrolled in Medicare?

Yes. Nidhi Nikhanj 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.

Which organizations bill Medicare for Nidhi Nikhanj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nidhi Nikhanj reassigns Medicare benefits to 4 organizations: Banner Hospital Based Physicians West LLC (Ogallala, NE), Banner Hospital Based Physicians Colorado LLC (Sterling, CO), County Of Los Angeles (Lancaster, CA) and Superior Hospitalist Medical Group Inc (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nidhi Nikhanj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nidhi Nikhanj accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming and Oscar Health Plan, Inc. list Nidhi Nikhanj as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nidhi Nikhanj affiliated with any hospitals?

According to CMS data, Nidhi Nikhanj is affiliated with Banner Churchill Community Hospital.

When was this NPI record last updated?

The NPPES record for Nidhi Nikhanj was last updated on August 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.