NISHA SANDESARA M.D.
NPI 1316226061
Hospitalist in San Jose, CA

Active since August 12, 2011PECOS EnrolledAccepts Medicare Assignment
72.02/100
CMS Quality Rating
2425 SAMARITAN DR, SAN JOSE, CA 95124(310) 423-5161 Get Directions Write a Review

NPPES record last updated: November 9, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Nisha Sandesara M.d. NPPES

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

NISHA SANDESARA M.D. (NPI 1316226061) is an individual hospitalist provider in San Jose, California, licensed in California (A123294) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2011).

NPPES Registry Identity

NPI1316226061
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameNISHA SANDESARACredential: M.D.
Location Address2425 SAMARITAN DRSan Jose, CA 95124-3908
Mailing Address2425 Samaritan DrSan Jose, CA 95124-3908 · (310) 423-5161
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2011
Enumeration DateAugust 12, 2011
Last NPPES UpdateNovember 9, 2017
NPI 1316226061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · A123294
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License A123294 (CA)
2425 SAMARITAN DR, San Jose, CA 95124

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 Sandesara 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 ID5496972853
PECOS Enrollment IDI20140807001560
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 4

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.

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.
275 services117 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.
106 services104 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
86 services85 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.
59 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95124 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

72.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.76
Improvement Activities40
Cost46.72

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.

Dietitian, Registered
2425 SAMARITAN DR
SAN JOSE, CA 95124
Anesthesiology
2425 SAMARITAN DR
SAN JOSE, CA 95124
Anesthesiology
2425 SAMARITAN DR
SAN JOSE, CA 95124
Internal Medicine
2425 SAMARITAN DR
SAN JOSE, CA 95124
Physician Assistant
2425 SAMARITAN DR
SAN JOSE, CA 95124
Anesthesiology
2425 SAMARITAN DR
SAN JOSE, CA 95124
Anesthesiology
2425 SAMARITAN DR
SAN JOSE, CA 95124
Nurse Practitioner (Family)
2425 SAMARITAN DR
SAN JOSE, CA 95124

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 Sandesara's NPI number?

The NPI number for Nisha Sandesara is 1316226061. It was assigned to this individual provider in the NPPES registry on August 12, 2011.

Where is Nisha Sandesara located?

Nisha Sandesara practices at 2425 Samaritan Dr, San Jose, CA 95124. The listed phone number is (310) 423-5161.

What is Nisha Sandesara's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nisha Sandesara enrolled in Medicare?

Yes. Nisha Sandesara 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.

When was this NPI record last updated?

The NPPES record for Nisha Sandesara was last updated on November 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.