DR. NISHA RENEE DABIR M.D.
NPI 1346517315
Internal Medicine in Coral Gables, FL

Q: What is Nisha Dabir's NPI number?

The NPI number for Nisha Dabir is 1346517315. It was assigned to this individual provider in the NPPES registry on November 18, 2011.

Q: What is Nisha Dabir's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Nisha Dabir was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since November 18, 2011PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146(305) 284-3333(305) 284-5054 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2025, Dec 6, 2021, Apr 19, 2017 and 1 more (4 updates tracked since 2017).

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About Dr. Nisha Renee Dabir M.d. NPPES

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

DR. NISHA RENEE DABIR M.D. (NPI 1346517315) is an individual internal medicine provider in Coral Gables, Florida, licensed in Florida (ME150317) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1346517315

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. NISHA RENEE DABIRCredential: M.D.

Location Address5555 PONCE DE LEON BLVDCoral Gables, FL 33146-2513

Mailing Address5555 Ponce De Leon BlvdCoral Gables, FL 33146-2513 · (305) 284-3333 · Fax (305) 284-5054

Phone(305) 284-3333

Fax(305) 284-5054

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateNovember 18, 2011

Last NPPES UpdateFebruary 5, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2025

✔ NPI 1346517315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in FL · ME150317✔ Licensed in CA · A126152

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License A126152 (CA)

5555 PONCE DE LEON BLVD, Coral Gables, FL 33146

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.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. Nisha Renee Dabir 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 ID2668796731

PECOS Enrollment IDI20210827002139

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

Medicare enrollment records show Nisha Dabir reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Miami

4.8 mi

Internal Medicine

8932 SW 97TH AVE
Miami, FL 33176

Reassigned Medicare billing, Florida enrollment
3,639 clinicians in this Medicare group

NPI 1912956566 (305) 243-7688

Chen Neighborhood Medical Centers Of South Florida, LLC

15 mi

Specialist

1395 NW 167TH ST
Miami Gardens, FL 33169

Reassigned Medicare billing, Florida enrollment
221 clinicians in this Medicare group

NPI 1881024800 (305) 628-6117

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 7

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.

103 services81 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

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.

31 services31 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

21 services18 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

21 services21 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33146 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

81.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)

69%39 patients3/55-star benchmark: 100%

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

8%130 patients

Breast Cancer Screening

70%340 patients4/55-star benchmark: 93%

Cervical Cancer Screening

41%704 patients2/55-star benchmark: 98%

Chlamydia Screening for Women

44%32 patients

Colorectal Cancer Screening

61%694 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

71%295 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

50%123 patients3/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

18%123 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

86%1,846 patients4/55-star benchmark: 100%

e-Prescribing

98%499 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

93%227 patients4/55-star benchmark: 100%

HIV Screening

39%1,193 patients3/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

53%1,250 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

68%1,135 patients3/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

41%1,316 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 98% · 965 patients

Patients screened: 100% · 965 patients

58%36 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%415 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 9% · 254 patients

Patients totalRate: 19% · 254 patients

15%254 patients3/55-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.

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.

ANDREA PIERRE PA-C

Physician Assistant (Surgical)