DR. SHWETA RAMAKRISHNA NAYAK M.D.
NPI 1275799595
Obstetrics & Gynecology in Pittsburgh, PA
NPI Status: Active since August 06, 2008
Contact Information
300 HALKET ST
PITTSBURGH, PA
ZIP 15213
Phone: (312) 343-5799
- Individual
- Female
- Obstetrics & Gynecology
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About SHWETA NAYAK
This page provides the complete NPI Profile along with additional information for Shweta Nayak, a women's health care provider established in Pittsburgh, Pennsylvania with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1275799595 assigned on August 2008. The practitioner's primary taxonomy code is 207V00000X with license number 125-051601 (IL). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1275799595
- Provider Name
- DR. SHWETA RAMAKRISHNA NAYAK M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 300 HALKET ST PITTSBURGH, PA 15213
- Location Phone
- (312) 343-5799
- Mailing Address
- 2118 MERRIMAN WAY PITTSBURGH, PA 15203
- Mailing Phone
- (312) 343-5799
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-06-2008
- Last Update Date
- 04-30-2014
- Code Navigator
Women's health care providers like Shweta Nayak treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Shweta Nayak opted out of Medicare effective on 01-10-2019 until 01-10-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 125-051601
- License State
- IL
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus (No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Standard+ (Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Shweta Nayak is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-10-2019
Opt-Out End Date: 01-10-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 15213 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.34
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $31.58
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.36
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $17.09
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. SHWETA RAMAKRISHNA NAYAK M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 7 | 9 | 9 | 5 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 14 | 9 | 18 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 4 + 9 + 1 + 8 + 5 + 1 + 8 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1275799595 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MRS. ELLEN M ELINE CRNP
Nurse Practitioner
(Adult Health)
300 HALKET ST
MAGEE WOMEN'S HOSPITAL, UPP - DEPARTMENT OF OB/GYN
PITTSBURGH, PA
ZIP 15213
GAYLE A COTCHEN R.PH., MBA
Pharmacist
300 HALKET ST
PITTSBURGH, PA
ZIP 15213
MS. SUSAN BERINGER CRNP
Nurse Practitioner
(Obstetrics & Gynecology)
300 HALKET ST
SUITE 4750
PITTSBURGH, PA
ZIP 15213
EDWARD A SANDY II MD
Obstetrics & Gynecology
300 HALKET ST
SUITE 0610
PITTSBURGH, PA
ZIP 15213
JENNIFER F HOULIAHN P.A.
Physician Assistant
(Medical)
300 HALKET ST
RENAISSANCE ORTHOPAEDICS, SUITE 1601
PITTSBURGH, PA
ZIP 15213
MS. DARCY LYNN THULL MS
Genetic Counselor, MS
300 HALKET ST
ROOM 3522
PITTSBURGH, PA
ZIP 15213
DEBORAH L KOJSZA CRNP
Nurse Practitioner
300 HALKET ST
SUITE 4628
PITTSBURGH, PA
ZIP 15213
DR. STEVEN R ABO MD
Specialist
300 HALKET ST
SUITE 5710
PITTSBURGH, PA
ZIP 15213
DR. ADAM M BRUFSKY MD
Specialist
300 HALKET ST
SUITE 4628
PITTSBURGH, PA
ZIP 15213
DR. STEVE N CARITIS MD
Specialist
300 HALKET ST
SUITE 0610
PITTSBURGH, PA
ZIP 15213
PROF. AMY JO BERRESFORD CRNA
Nurse Anesthetist, Certified Registered
300 HALKET ST
PITTSBURGH, PA
ZIP 15213
DR. MARGUERITE A BONAVENTURA MD
Surgery
(Surgical Oncology)
300 HALKET ST
MAGEE-WOMENS HOSPITAL, SUITE 2601
PITTSBURGH, PA
ZIP 15213
DR. GLORIA JEAN CARTER MD
Pathology
(Anatomic Pathology & Clinical Pathology)
300 HALKET ST
PITTSBURGH, PA
ZIP 15213
DR. BONNIE ANN COYNE MD
Specialist
300 HALKET ST
SUITE 0610
PITTSBURGH, PA
ZIP 15213
PROF. JEWEL ANN DESISTO CRNA
Nurse Anesthetist, Certified Registered
300 HALKET ST
PITTSBURGH, PA
ZIP 15213
DR. DANIEL I EDELSTONE MD
Specialist
300 HALKET ST
SUITE 0610
PITTSBURGH, PA
ZIP 15213
PROF. JOYCE T COTTRELL CRNA
Nurse Anesthetist, Certified Registered
300 HALKET ST
PITTSBURGH, PA
ZIP 15213
DR. DAVID J DABBS MD
Specialist
300 HALKET ST
PITTSBURGH, PA
ZIP 15213
DR. ESTHER ELISHAEV MD
Specialist
300 HALKET ST
PITTSBURGH, PA
ZIP 15213
DR. DEREK J DAVIS MD
Specialist
300 HALKET ST
PITTSBURGH, PA
ZIP 15213
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275799595, enumerated as an "individual" on August 06, 2008.
The provider is located at 300 HALKET ST PITTSBURGH, PA 15213 and the phone number is (312) 343-5799.
Obstetrics & Gynecology with taxonomy code 207V00000X.
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to verify.
