NILESH V KANSAGRA MD
NPI 1437286002
Emergency Medicine in Belleville, NJ

Q: What is Nilesh Kansagra's NPI number?

The NPI number for Nilesh Kansagra is 1437286002. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Q: What is Nilesh Kansagra's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Nilesh Kansagra was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 28, 2007PECOS EnrolledAccepts Medicare Assignment

1 CLARA MAASS DR, BELLEVILLE, NJ 07109(973) 450-2000(732) 923-2272 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nilesh V Kansagra Md NPPES

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

NILESH V KANSAGRA MD (NPI 1437286002) is an individual emergency medicine provider in Belleville, New Jersey, licensed in New Jersey (25MA8535000) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1437286002

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameNILESH V KANSAGRACredential: MD

Location Address1 CLARA MAASS DRBelleville, NJ 07109-3550

Mailing Address201 S 25th St, Apt #221Philadelphia, PA 19103-6002 · (215) 825-7658

Phone(973) 450-2000

Fax(732) 923-2272

Sole ProprietorYes

Medical School CMSRutgers New Jersey Medical SchoolGraduated 2004

Enumeration DateFebruary 28, 2007

Last NPPES UpdateJuly 9, 2024

NPPES CertifiedJuly 9, 2024

✔ NPI 1437286002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in NJ · 25MA8535000✔ Licensed in DE · C70002942

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1 CLARA MAASS DR, Belleville, NJ 07109

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Secondary Practice Location 1

Location 14755 Ogletown-Stanton RdNewark, DE 19718-0001 · Phone (302) 733-4176

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

Nilesh V Kansagra 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 ID6204984586

PECOS Enrollment IDI20090424000017

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 Nilesh Kansagra reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rwjbh Observation Associates LLC

6.7 mi

Emergency Medicine

94 OLD SHORT HILLS RD
Livingston, NJ 07039

Reassigned Medicare billing, New Jersey enrollment
1,913 clinicians in this Medicare group

NPI 1760095806 (888) 724-7123

Rwjbh Emergency Medicine Associates, LLC

25 mi

Emergency Medicine

3 EXECUTIVE DR, STE 400
Somerset, NJ 08873

Reassigned Medicare billing, New Jersey enrollment
1,557 clinicians in this Medicare group

NPI 1912510041 (732) 867-9618

Morristown Emergency Medical Associates LLC

38 mi

Emergency Medicine

901 W MAIN ST
Freehold, NJ 07728

Reassigned Medicare billing, New Jersey enrollment
123 clinicians in this Medicare group

NPI 1649541087 (954) 939-5000

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.

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.

211 services204 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

177 services174 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.

69 services68 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

53 services53 patients

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.

43 services41 patients

Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236

This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.

31 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310009

LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County

Emergency services Birthing friendly

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310015

Location100 Madison AveMorristown, NJ 07960 · Morris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07109 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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 20

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

NORTHERN NEW JERSEY ANESTHESIA ASSOCIATES, LLC

Anesthesiology