ABHINAV NAIR M.D.
NPI 1275928574
Internal Medicine - Cardiovascular Disease in Horsham, PA

Q: What is Abhinav Nair's NPI number?

The NPI number for Abhinav Nair is 1275928574. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Q: What is Abhinav Nair's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Abhinav Nair was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 02, 2015PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

118 WELSH RD, HORSHAM, PA 19044(215) 517-1000 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 16, 2022, Apr 10, 2021 (2 updates tracked since 2021).

On this page

About Abhinav Nair M.d. NPPES

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

ABHINAV NAIR M.D. (NPI 1275928574) is an individual cardiovascular disease provider in Horsham, Pennsylvania, licensed in Pennsylvania (MD471840) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Lansdale Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (2015).

NPPES Registry Identity

NPI1275928574

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameABHINAV NAIRCredential: M.D.

Location Address118 WELSH RDHorsham, PA 19044-2242

Mailing Address118 Welsh Rd Unit BHorsham, PA 19044-2242 · (215) 517-1000

Phone(215) 517-1000

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2015

Enumeration DateApril 2, 2015

Last NPPES UpdateFebruary 16, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2022

✔ NPI 1275928574 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 PA · MD471840

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.

118 WELSH RD, Horsham, PA 19044

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Abhinav Nair 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 ID6002170040

PECOS Enrollment IDI20210603000473

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

Medicare enrollment records show Abhinav Nair reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Abington Medical Specialists Association

Same address

Cardiovascular Disease

118 WELSH RD UNIT B
Horsham, PA 19044

Reassigned Medicare billing, Pennsylvania enrollment
Also billed through NPI 1184408015 (Pennsylvania)
34 clinicians in this Medicare group

NPI 1225084528 (215) 517-1000

Heart Group Of Abington Ltd.

3.2 mi

Cardiovascular Disease

1200 OLD YORK RD
Abington, PA 19001

Reassigned Medicare billing, Pennsylvania enrollment
27 clinicians in this Medicare group

NPI 1407844772 (215) 481-2000

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 27

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,102 services908 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

524 services331 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.

435 services273 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

393 services385 patients

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.

265 services111 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

256 services64 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.

155 services147 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.

90 services90 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

70 services65 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.

66 services47 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

64 services64 patients

Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries A9555

Rubidium Rb-82 is a radioactive drug used in a PET scan to help visualize the heart. It helps detect areas with poor blood flow, aiding in diagnosing heart conditions. The dose is up to 60 millicuries per study.

57 services57 patients

Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan 78431

This is a diagnostic test where a tiny amount of radioactive material is used to examine your heart's blood flow at rest & during stress, alongside a CT scan for detailed images. It helps identify any heart-related issues like blockages or damage.

56 services56 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

55 services53 patients

Nuclear medicine study of heart muscle blood flow by pet 78434

A nuclear medicine study of heart muscle blood flow by PET is a non-invasive test that uses a small amount of radioactive substance to create detailed images of your heart's blood flow and function. It helps assess heart health and diagnose heart conditions.

54 services54 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

49 services16 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

48 services47 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

38 services37 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

37 services37 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

27 services25 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

27 services25 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

25 services25 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

23 services23 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

19 services18 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

18 services18 patients

Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional 93229

An Electrocardiogram (ECG) is a test that records your heart's electrical activity for up to 30 days. You trigger a transmission if you feel symptoms, which is then reviewed by a healthcare professional. The report helps diagnose heart conditions.

18 services18 patients

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.

18 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Lansdale Hospital

Acute Care Hospitals · Lansdale, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390012

Location100 Medical Campus DriveLansdale, PA 19446 · Montgomery County

Emergency services

Holy Redeemer Hospital And Medical Center

Acute Care Hospitals · Meadowbrook, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number390097

Location1648 Huntingdon PikeMeadowbrook, PA 19046 · Montgomery County

Emergency services Birthing friendly

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390115

Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County

Emergency services

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number390231

Location1200 Old York RoadAbington, PA 19001 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19044 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UPASANA MADAN

Obstetrics & Gynecology

118 WELSH RD
HORSHAM, PA 19044

Montgomery County (215) 657-8430

MS. JULIA MARIE MCCARRICK CRNP

Nurse Practitioner (Family)

118 WELSH RD
HORSHAM, PA 19044

Montgomery County (215) 657-5200

MICHAEL MORIARTY D.O

Family Medicine

118 WELSH RD
HORSHAM, PA 19044

Montgomery County (215) 379-3200

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 Abhinav Nair's NPI number?

The NPI number for Abhinav Nair is 1275928574. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Abhinav Nair located?

Abhinav Nair practices at 118 Welsh Rd, Horsham, PA 19044. The listed phone number is (215) 517-1000.

What is Abhinav Nair's specialty?

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

Is Abhinav Nair enrolled in Medicare?

Yes. Abhinav Nair 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 Abhinav Nair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abhinav Nair reassigns Medicare benefits to 2 organizations: Abington Medical Specialists Association (Horsham, PA) and Heart Group Of Abington Ltd. (Abington, PA). 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 Abhinav Nair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abhinav Nair accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Abhinav Nair 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 Abhinav Nair affiliated with any hospitals?

According to CMS data, Abhinav Nair is affiliated with Lansdale Hospital, Holy Redeemer Hospital And Medical Center, Jefferson Health- Northeast, Thomas Jefferson University Hospital and Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Abhinav Nair was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.