DR. NISHAN DHARSHANA ADIHETTY MD
NPI 1316130065
Psychiatry & Neurology - Psychiatry in Houston, TX

Active since August 24, 2007PECOS EnrolledAccepts Medicare Assignment
85.72/100
CMS Quality Rating
7200 NORTH LOOP E, HOUSTON, TX 77028(713) 970-7000 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2026, Nov 30, 2018 (2 updates tracked since 2018).

About Dr. Nishan Dharshana Adihetty Md NPPES

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

DR. NISHAN DHARSHANA ADIHETTY MD (NPI 1316130065) is an individual psychiatry provider in Houston, Texas, licensed in Texas (N5521) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1316130065
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. NISHAN DHARSHANA ADIHETTYCredential: MD
Location Address7200 NORTH LOOP EHouston, TX 77028-5951
Mailing Address7200 North Loop EHouston, TX 77028-5951 · (713) 970-8700 · Fax (713) 970-8772
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 24, 2007
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1316130065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · N5521
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License N5521 (TX)
7200 NORTH LOOP E, Houston, TX 77028

Secondary Practice Locations 2

Location 19401 Southwest FwyHouston, TX 77074-1407 · Phone (713) 970-7000
Location 22219 Sawdust Rd Ste 1004The Woodlands, TX 77380-2580 · Phone (832) 585-0005 · Fax (832) 813-8804

Other Identifiers 1

Medicaid080462703TX

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. Nishan Dharshana Adihetty 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 ID7810076882
PECOS Enrollment IDI20101018000499
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

8

Medicare enrollment records show Nishan Adihetty reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
9401 SOUTHWEST FWY
Houston, TX 77074
  • Reassigned Medicare billing, Texas enrollment
  • 232 clinicians in this Medicare group
Internal Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, California enrollment
  • 105 clinicians in this Medicare group
Psychiatry
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Ohio and Texas enrollments
  • 59 clinicians in this Medicare group
Family Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Ohio and Texas enrollments
  • 59 clinicians in this Medicare group
Psychiatry
2217 PARK BEND DR STE 300
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 11 clinicians in this Medicare group
Emergency Medicine
3400 DOUGLAS BLVD STE 225
Roseville, CA 95661
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Telemedicine Group PC
  • 205 clinicians in this Medicare group
Neurology
455 SILICON VALLEY BLVD
San Jose, CA 95138
  • Reassigned Medicare billing, California enrollment
  • 112 clinicians in this Medicare group
Psychiatry
3095 TELEGRAPH AVE
Berkeley, CA 94705
  • Reassigned Medicare billing, California enrollment
  • 103 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 2

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.
60 services18 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.
25 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77028 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

85.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.73
Improvement Activities40
Cost87.58

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.

Physician Assistant
7200 NORTH LOOP E
HOUSTON, TX 77028
Psychiatry & Neurology (Psychiatry)
7200 NORTH LOOP E
HOUSTON, TX 77028
Social Worker (Clinical)
7200 NORTH LOOP E
HOUSTON, TX 77028
Counselor (Professional)
7200 NORTH LOOP E
HOUSTON, TX 77028
Psychiatry & Neurology (Psychiatry)
7200 NORTH LOOP E
HOUSTON, TX 77028
Counselor (Professional)
7200 NORTH LOOP E
HOUSTON, TX 77028
Counselor (Professional)
7200 NORTH LOOP E
HOUSTON, TX 77028
Counselor (Professional)
7200 NORTH LOOP E
HOUSTON, TX 77028

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 Nishan Adihetty's NPI number?

The NPI number for Nishan Adihetty is 1316130065. It was assigned to this individual provider in the NPPES registry on August 24, 2007.

Where is Nishan Adihetty located?

Nishan Adihetty practices at 7200 North Loop E, Houston, TX 77028. The listed phone number is (713) 970-7000.

What is Nishan Adihetty's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nishan Adihetty enrolled in Medicare?

Yes. Nishan Adihetty 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 Nishan Adihetty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nishan Adihetty reassigns Medicare benefits to 8 organizations: The Harris Center For Mental Health And Idd (Houston, TX), Psychplus Medical Associates Of California PC (Houston, TX), Psychiatry Of Texas PLLC (Houston, TX), Psychplus Medical Associates, PLLC (Houston, TX), Specialty Clinic Medical Group, PLLC (Austin, TX) and 3 more organizations, listed in the Medicare section above. 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 Nishan Adihetty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nishan Adihetty accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas and 9 other insurers list Nishan Adihetty 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.

When was this NPI record last updated?

The NPPES record for Nishan Adihetty was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.