NIMESH ADHIKARI MD
NPI 1417470832
Internal Medicine - Hematology & Oncology in Kingsport, TN

Active since July 18, 2017PECOS EnrolledAccepts Medicare Assignment
2202 N JOHN B DENNIS HWY STE 100, KINGSPORT, TN 37660(423) 578-8500 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 20, 2025, Sep 27, 2024, May 15, 2024 and 2 more (5 updates tracked since 2017).

About Nimesh Adhikari Md NPPES

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

NIMESH ADHIKARI MD (NPI 1417470832) is an individual hematology & oncology provider in Kingsport, Tennessee, licensed in Tennessee (66917) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417470832
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameNIMESH ADHIKARICredential: MD
Location Address2202 N JOHN B DENNIS HWY STE 100Kingsport, TN 37660
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111 · Fax (423) 282-1657
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 18, 2017
Last NPPES UpdateMarch 20, 20255 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
NPI 1417470832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in TN · 66917
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License 66917 (TN)
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 66917 (TN)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 66917 (TN)
2202 N JOHN B DENNIS HWY STE 100, Kingsport, TN 37660

Secondary Practice Locations 2

Location 1378 Marketplace Blvd Ste 5Johnson City, TN 37604 · Phone (423) 282-0751
Location 23601 4th St # MS 9410Lubbock, TX 79430-0002 · Phone (806) 743-3155 · Fax (806) 743-3148

Accepted Insurance

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

Nimesh Adhikari 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 ID4587935085
PECOS Enrollment IDI20230516000465
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 5

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 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.
118 services47 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.
90 services63 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.
41 services17 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.
25 services25 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440176
Location2000 Brookside DrKingsport, TN 37660 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 13

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

Internal Medicine (Hematology & Oncology)
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Physician Assistant
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Internal Medicine (Hematology & Oncology)
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Nurse Practitioner (Family)
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Nurse Practitioner (Family)
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Nurse Practitioner (Family)
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Nurse Practitioner (Family)
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Physician Assistant
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660

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 Nimesh Adhikari's NPI number?

The NPI number for Nimesh Adhikari is 1417470832. It was assigned to this individual provider in the NPPES registry on July 18, 2017.

Where is Nimesh Adhikari located?

Nimesh Adhikari practices at 2202 N John B Dennis Hwy Ste 100, Kingsport, TN 37660. The listed phone number is (423) 578-8500.

What is Nimesh Adhikari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Nimesh Adhikari enrolled in Medicare?

Yes. Nimesh Adhikari 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.

What insurance does Nimesh Adhikari accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Nimesh Adhikari 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 Nimesh Adhikari affiliated with any hospitals?

According to CMS data, Nimesh Adhikari is affiliated with Wellmont Bristol Regional Medical Center, Wellmont Holston Valley Medical Center, Johnson City Medical Center and Indian Path Community Hospital.

When was this NPI record last updated?

The NPPES record for Nimesh Adhikari was last updated on March 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.