NIPA RAJNIKANT DOSHI MD
NPI 1487698874
Family Medicine - Adult Medicine in West Reading, PA

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
86.13/100
CMS Quality Rating
301 S 7TH AVE, SUITE 200, WEST READING, PA 19611(484) 628-8198 Get Directions Write a Review

NPPES record last updated: March 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nipa Rajnikant Doshi Md NPPES

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

NIPA RAJNIKANT DOSHI MD (NPI 1487698874) is an individual adult medicine provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD064775L) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Hahnemann University College Of Medicine (1995).

NPPES Registry Identity

NPI1487698874
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameNIPA RAJNIKANT DOSHICredential: MD
Location Address301 S 7TH AVE, SUITE 200West Reading, PA 19611-1410
Mailing AddressPo Box 13579, 24th Floor West TowerReading, PA 19612-3579 · (484) 628-0799
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1995
Enumeration DateJune 15, 2006
Last NPPES UpdateMarch 4, 2015
NPI 1487698874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in PA · MD064775L
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
301 S 7TH AVE, West Reading, PA 19611

Other Identifiers 3

Medicare UPINOTHERPA
Medicare PIN006741PA
Medicaid001689040PA

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

Nipa Rajnikant Doshi 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 ID2163463613
PECOS Enrollment IDI20050516000539
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 2

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 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.
46 services11 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

86.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.91
Promoting Interoperability99
Improvement Activities40
Cost62.83

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$89.64 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 20

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

Internal Medicine (Interventional Cardiology)
301 S 7TH AVE, SUITE 2020
WEST READING, PA 19611
Specialist
301 S 7TH AVE, STE 135
WEST READING, PA 19611
Physical Therapist
301 S 7TH AVE, STE 3220
WEST READING, PA 19611
Psychiatry & Neurology (Neurology)
301 S 7TH AVE, SUITE 210
READING, PA 19611
Specialist
301 S 7TH AVE, STE 135
WEST READING, PA 19611
Orthopaedic Surgery
301 S 7TH AVE, SUITE 3220
WEST READING, PA 19611
Physical Therapist
301 S 7TH AVE, SUITE 3020
WEST READING, PA 19611
Internal Medicine (Interventional Cardiology)
301 S 7TH AVE, SUITE 2020
WEST READING, PA 19611

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 Nipa Doshi's NPI number?

The NPI number for Nipa Doshi is 1487698874. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Nipa Doshi located?

Nipa Doshi practices at 301 S 7th Ave Suite 200, West Reading, PA 19611. The listed phone number is (484) 628-8198.

What is Nipa Doshi's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Nipa Doshi enrolled in Medicare?

Yes. Nipa Doshi 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 Nipa Doshi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nipa Doshi 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 Nipa Doshi affiliated with any hospitals?

According to CMS data, Nipa Doshi is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Nipa Doshi was last updated on March 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.