DR. SUNIL NAIR
NPI 1306259866
Internal Medicine - Critical Care Medicine in Omaha, NE

Active since June 03, 2014PECOS EnrolledAccepts Medicare Assignment
7500 MERCY RD, OMAHA, NE 68124(855) 524-4001(402) 398-5589 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 17, 2026, Jul 28, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Sunil Nair NPPES

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

DR. SUNIL NAIR (NPI 1306259866) is an individual critical care medicine provider in Omaha, Nebraska, licensed in Nebraska (32488) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Chi Health Bergan Mercy, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306259866
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. SUNIL NAIR
Location Address7500 MERCY RDOmaha, NE 68124-2319
Mailing Address7500 Mercy RdOmaha, NE 68124-2319 · (855) 524-4001 · Fax (402) 398-5589
Fax(402) 398-5589
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJune 3, 2014
Last NPPES UpdateJuly 17, 20264 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1306259866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in NE · 32488✔ Licensed in IA · MD-47614
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 E-10757 (AR)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 32488 (NE), MD-47614 (IA)
Also ListedHospitalistTaxonomy 208M00000X · License MD47614 (IA), 32488 (NE)
7500 MERCY RD, Omaha, NE 68124

Secondary Practice Locations 2

Location 1204 Carroll St, Apt 4Brooklyn, NY 11231-4207 · Phone (917) 705-7638
Location 21001 Towson AveFort Smith, AR 72901-4921 · Phone (917) 705-7638

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

Dr. Sunil Nair 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 ID9830455971
PECOS Enrollment IDI20200730003537, I20200731000525
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

3

Medicare enrollment records show Sunil Nair reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
7500 MERCY RD
Omaha, NE 68124
  • Reassigned Medicare billing, Nebraska and Iowa enrollments
  • Also billed through NPI 1518227859 (Iowa)
  • 1,045 clinicians in this Medicare group
Critical Access
1301 GRUNDMAN BLVD
Nebraska City, NE 68410
  • Reassigned Medicare billing, Nebraska enrollment
  • Medicare enrollment name: St Marys Community Hospital
  • 53 clinicians in this Medicare group
Hospitalist
555 S 70TH ST
Lincoln, NE 68510
  • Reassigned Medicare billing, Nebraska enrollment
  • 525 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.

Hospital Affiliations CMS Care Compare 2

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

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280060
Location7500 Mercy RdOmaha, NE 68124 · Douglas County
Emergency services Birthing friendly

Chi Health Lakeside

Acute Care Hospitals · Omaha, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280130
Location16901 Lakeside Hills CtOmaha, NE 68130 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68124 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
91%247 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$94.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Clinical Cardiac Electrophysiology)
7500 MERCY RD
OMAHA, NE 68124
Radiology (Diagnostic Radiology)
7500 MERCY RD
OMAHA, NE 68124
Nurse Practitioner (Neonatal, Critical Care)
7500 MERCY RD
OMAHA, NE 68124
Nurse Anesthetist, Certified Registered
7500 MERCY RD
OMAHA, NE 68124
Nurse Practitioner
7500 MERCY RD
OMAHA, NE 68124
Nurse Anesthetist, Certified Registered
7500 MERCY RD
OMAHA, NE 68124
Nurse Anesthetist, Certified Registered
7500 MERCY RD
OMAHA, NE 68124
Hospitalist
7500 MERCY RD, CU DEPARTMENT OF FAMILY MEDICINE
OMAHA, NE 68124

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 Sunil Nair's NPI number?

The NPI number for Sunil Nair is 1306259866. It was assigned to this individual provider in the NPPES registry on June 3, 2014.

Where is Sunil Nair located?

Sunil Nair practices at 7500 Mercy Rd, Omaha, NE 68124. The listed phone number is (855) 524-4001.

What is Sunil Nair's specialty?

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

Is Sunil Nair enrolled in Medicare?

Yes. Sunil 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 Sunil Nair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunil Nair reassigns Medicare benefits to 3 organizations: Alegent Creighton Clinic (Omaha, NE), St. Mary's Community Hospital (Nebraska City, NE) and Chi Health Clinic Specialty, LLC (Lincoln, NE). 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 Sunil Nair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunil Nair accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Sunil 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 Sunil Nair affiliated with any hospitals?

According to CMS data, Sunil Nair is affiliated with Chi Health Bergan Mercy and Chi Health Lakeside.

When was this NPI record last updated?

The NPPES record for Sunil Nair was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.