NISHA SARA JOSEPH M.D.
NPI 1285990309
Internal Medicine - Medical Oncology in Atlanta, GA

Active since April 03, 2012PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
69 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 251-8787 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 29, 2018, Jun 11, 2018 (2 updates tracked since 2018).

About Nisha Sara Joseph M.d. NPPES

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

NISHA SARA JOSEPH M.D. (NPI 1285990309) is an individual medical oncology provider in Atlanta, Georgia, licensed in Georgia (80952) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1285990309
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameNISHA SARA JOSEPHCredential: M.D.
Location Address69 JESSE HILL JR DR SEAtlanta, GA 30303
Mailing Address69 Jesse Hill Jr Dr SeAtlanta, GA 30303-3033 · (404) 251-8787
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 3, 2012
Last NPPES UpdateOctober 29, 20182 updates tracked since enumeration
NPI 1285990309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in GA · 80952
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 5719 (GA)
69 JESSE HILL JR DR SE, Atlanta, GA 30303

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nisha Sara Joseph 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 ID8628322161
PECOS Enrollment IDI20181119002720
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.

Areas of Expertise CMS Part B claims 3

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 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.
143 services87 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.
30 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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.

Student in an Organized Health Care Education/Training Program
69 JESSE HILL JR DR SE
ATLANTA, GA 30303
Anesthesiology
69 JESSE HILL JR DR SE
ATLANTA, GA 30303
Internal Medicine
69 JESSE HILL JR DR SE
ATLANTA, GA 30303
Obstetrics & Gynecology
69 JESSE HILL JR DR SE, DEPT OF GYN/OB
ATLANTA, GA 30303
General Acute Care Hospital
69 JESSE HILL JR DR SE
ATLANTA, GA 30303
Advanced Practice Midwife
69 JESSE HILL JR DR SE, GLENN BUILDING, 4TH FLOOR
ATLANTA, GA 30303
Student in an Organized Health Care Education/Training Program
69 JESSE HILL JR DR SE
ATLANTA, GA 30303
Obstetrics & Gynecology
69 JESSE HILL JR DR SE, GLENN BUILDING, 4TH FLOOR - 412B
ATLANTA, GA 30303

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 Joseph's NPI number?

The NPI number for Nisha Joseph is 1285990309. It was assigned to this individual provider in the NPPES registry on April 3, 2012.

Where is Nisha Joseph located?

Nisha Joseph practices at 69 Jesse Hill Jr Dr SE, Atlanta, GA 30303. The listed phone number is (404) 251-8787.

What is Nisha Joseph's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Nisha Joseph enrolled in Medicare?

Yes. Nisha Joseph 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.

Is Nisha Joseph affiliated with any hospitals?

According to CMS data, Nisha Joseph is affiliated with Emory University Hospital, Emory Decatur Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Nisha Joseph was last updated on October 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.