NISHA BENGALI MD
NPI 1285262774
Family Medicine in Somerville, NJ

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment
110 REHILL AVE, SOMERVILLE, NJ 08876(908) 685-2899 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Nisha Bengali Md NPPES

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

NISHA BENGALI MD (NPI 1285262774) is an individual family medicine provider in Somerville, New Jersey, licensed in New Jersey (25MA11986800) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1285262774
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNISHA BENGALICredential: MD
Location Address110 REHILL AVESomerville, NJ 08876-2519
Mailing Address465 South St Ste 103Morristown, NJ 07960-6442 · (908) 281-1199 · Fax (908) 281-4311
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1285262774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA11986800
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
110 REHILL AVE, Somerville, NJ 08876

Secondary Practice Locations 4

Location 1601 US Highway 206 Unit 7Hillsborough, NJ 08844-1521 · Phone (908) 281-1199 · Fax (908) 281-4311
Location 2575 Route 28 Bldg 3Raritan, NJ 08869-1354 · Phone (908) 947-2712 · Fax (908) 927-9832
Location 31973 Washington Valley RdMartinsville, NJ 08836-2053 · Phone (722) 560-9225 · Fax (732) 560-8095
Location 418 Lyons Road, Lyons Mall Suite 101Basking Ridge, NJ 07920 · Phone (908) 373-2688 · Fax (908) 373-2679

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

Nisha Bengali 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 ID3375981624
PECOS Enrollment IDI20240404003621
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 Reassignment

Medicare enrollment records show Nisha Bengali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 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 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.

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.
186 services143 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.
179 services156 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 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.
26 services26 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
18 services17 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08876 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

General Acute Care Hospital
110 REHILL AVE
SOMERVILLE, NJ 08876
Physician Assistant
110 REHILL AVE
SOMERVILLE, NJ 08876
Physical Therapist
110 REHILL AVE
SOMERVILLE, NJ 08876
Student in an Organized Health Care Education/Training Program
110 REHILL AVE
SOMERVILLE, NJ 08876
Peer Specialist
110 REHILL AVE
SOMERVILLE, NJ 08876
Peer Specialist
110 REHILL AVE
SOMERVILLE, NJ 08876
Emergency Medicine
110 REHILL AVE, SOMERSET MEDICAL CENTER
SOMERVILLE, NJ 08876
Peer Specialist
110 REHILL AVE
SOMERVILLE, NJ 08876

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 Bengali's NPI number?

The NPI number for Nisha Bengali is 1285262774. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Nisha Bengali located?

Nisha Bengali practices at 110 Rehill Ave, Somerville, NJ 08876. The listed phone number is (908) 685-2899.

What is Nisha Bengali's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nisha Bengali enrolled in Medicare?

Yes. Nisha Bengali 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 organization bills Medicare for Nisha Bengali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Bengali reassigns Medicare benefits to Practice Associates Medical Group (Morristown, NJ). The 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 Nisha Bengali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nisha Bengali accept?

Health plans from Ambetter Health and Oscar Health list Nisha Bengali 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 Nisha Bengali affiliated with any hospitals?

According to CMS data, Nisha Bengali is affiliated with Morristown Medical Center and Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Nisha Bengali was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.