DR. NIKHIL GAUTAM PANDHI D.O.
NPI 1417071374
Orthopaedic Surgery - Sports Medicine in Munster, IN

Q: What is Nikhil Pandhi's NPI number?

The NPI number for Nikhil Pandhi is 1417071374. It was assigned to this individual provider in the NPPES registry on March 18, 2007.

Q: What is Nikhil Pandhi's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Nikhil Pandhi was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 March 18, 2007PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

759 45TH ST STE 201, MUNSTER, IN 46321(219) 933-7930(219) 836-3295 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2025, Oct 11, 2024, Jul 20, 2019 and 2 more (5 updates tracked since 2016).

On this page

About Dr. Nikhil Gautam Pandhi D.o. NPPES

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

DR. NIKHIL GAUTAM PANDHI D.O. (NPI 1417071374) is an individual sports medicine provider in Munster, Indiana, licensed in Indiana (02003901A) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Olympia & Chicago Heights, and maintains a secondary practice location in East Chicago.

NPPES Registry Identity

NPI1417071374

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. NIKHIL GAUTAM PANDHICredential: D.O.

Location Address759 45TH ST STE 201Munster, IN 46321-2939

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(219) 933-7930

Fax(219) 836-3295

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2004

Enumeration DateMarch 18, 2007

Last NPPES UpdateMay 22, 20255 updates tracked since enumeration

NPPES CertifiedMay 22, 2025

✔ NPI 1417071374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Licenses✔ Licensed in IN · 02003901A✔ Licensed in IN · 99047928

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 5101016280 (MI)

759 45TH ST STE 201, Munster, IN 46321

Open in Google Maps ↗

Secondary Practice Location 1

Location 14320 Fir St Unit 201East Chicago, IN 46312-3076 · Phone (219) 392-7084

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Nikhil Gautam Pandhi D.o. 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 ID4082751128

PECOS Enrollment IDI20110916000353

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 Nikhil Pandhi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Point Orthopedics LLC

0.7 mi

Orthopaedic Surgery of the Spine

9445 CALUMET AVE
Munster, IN 46321

Reassigned Medicare billing, Indiana enrollment
18 clinicians in this Medicare group

NPI 1801378088 (219) 836-1060

Franciscan Physician Network

69 mi

Urgent Care

1515 W DRAGOON TRL
Mishawaka, IN 46544

Reassigned Medicare billing, Indiana enrollment
1,396 clinicians in this Medicare group

NPI 1366879009 (574) 254-6253

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 19

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,499 services146 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.

302 services217 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

167 services142 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

125 services125 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

123 services84 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

103 services69 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

91 services73 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.

61 services56 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

51 services48 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

43 services42 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

42 services35 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

36 services33 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.

32 services31 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

21 services13 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

19 services13 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

17 services16 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

16 services11 patients

Injection of contrast for imaging of hip under anesthesia 27095

This procedure involves injecting a contrast dye into the hip area while you're under anesthesia. The dye helps to highlight structures in your hip on the imaging scans. It's a safe process that provides clear pictures for accurate diagnosis and treatment planning.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Franciscan Health Olympia & Chicago Heights

Acute Care Hospitals · Olympia Fields, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140172

Location20201 S Crawford AvenueOlympia Fields, IL 60461 · Cook County

Emergency services Birthing friendly

St Catherine Hospital Inc

Acute Care Hospitals · East Chicago, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150008

Location4321 Fir StreetEast Chicago, IN 46312 · Lake County

Emergency services Birthing friendly

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150090

Location24 Joliet StDyer, IN 46311 · Lake County

Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150125

Location901 Macarthur BlvdMunster, IN 46321 · Lake County

Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150165

Location701 Superior AveMunster, IN 46321 · Lake County

Emergency services Birthing friendly

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.

75/100

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

Scored as part of a group practice

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.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

2 suppliers15 claims15 services$55.61 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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCISCAN PHYSICIAN NETWORK

Podiatrist

759 45TH ST STE 201
MUNSTER, IN 46321

Lake County (219) 836-4669

DR. JASON K ROSENBLUM D.P.M.

Podiatrist

759 45TH ST STE 201
MUNSTER, IN 46321

Lake County (219) 836-4669

DR. KYLE WILLIAM MEYER D.O.

Family Medicine

759 45TH ST STE 201
MUNSTER, IN 46321

Lake County (219) 933-7930

DR. FREDERICK JOSEPH DIEL DPM

Podiatrist

759 45TH ST STE 201
MUNSTER, IN 46321

Lake County (219) 836-4669

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 Nikhil Pandhi's NPI number?

The NPI number for Nikhil Pandhi is 1417071374. It was assigned to this individual provider in the NPPES registry on March 18, 2007.

Where is Nikhil Pandhi located?

Nikhil Pandhi practices at 759 45th St Ste 201, Munster, IN 46321. The listed phone number is (219) 933-7930.

What is Nikhil Pandhi's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Nikhil Pandhi enrolled in Medicare?

Yes. Nikhil Pandhi 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 Nikhil Pandhi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikhil Pandhi reassigns Medicare benefits to 2 organizations: North Point Orthopedics LLC (Munster, IN) and Franciscan Physician Network (Mishawaka, IN). 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 Nikhil Pandhi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikhil Pandhi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Nikhil Pandhi 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 Nikhil Pandhi affiliated with any hospitals?

According to CMS data, Nikhil Pandhi is affiliated with Franciscan Health Olympia & Chicago Heights, St Catherine Hospital Inc, Franciscan Health Dyer, Community Hospital and Franciscan Health Munster.

When was this NPI record last updated?

The NPPES record for Nikhil Pandhi was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.