NISHA ACHARYA M.D.
NPI 1508022963
Internal Medicine - Endocrinology, Diabetes & Metabolism in Saint Paul, MN

Active since August 05, 2008PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
225 SMITH AVE N STE 300, SAINT PAUL, MN 55102(651) 241-5000 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2021, Jun 29, 2018 (2 updates tracked since 2018).

About Nisha Acharya M.d. NPPES

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

NISHA ACHARYA M.D. (NPI 1508022963) is an individual endocrinology, diabetes & metabolism provider in Saint Paul, Minnesota, licensed in Minnesota (61735) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1508022963
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameNISHA ACHARYACredential: M.D.
Location Address225 SMITH AVE N STE 300Saint Paul, MN 55102
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 5, 2008
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
NPI 1508022963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses Licensed in MN · 61735 Licensed in WI · 60211
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 61735 (MN)
225 SMITH AVE N STE 300, Saint Paul, MN 55102

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

Nisha Acharya 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 ID7517191703
PECOS Enrollment IDI20171011003672
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 25

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, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,620 services17 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
268 services235 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.
173 services95 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
99 services92 patients
Injection, zoledronic acid, 1 mg J3489
Zoledronic acid is a medication given via injection to strengthen bones. It's often used in patients with osteoporosis or certain types of cancer. The injection helps reduce the risk of fractures and other bone complications.
80 services16 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
70 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

River Falls Area Hospital

Critical Access Hospitals · River Falls, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521349
Location1629 E Division StRiver Falls, WI 54022 · Pierce County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
4 suppliers12 claims1,980 services$7.08 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
9 suppliers165 claims165 services$189.17 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.

Nurse Practitioner (Family)
225 SMITH AVE N STE 300
SAINT PAUL, MN 55102
Internal Medicine (Rheumatology)
225 SMITH AVE N STE 300
SAINT PAUL, MN 55102
Internal Medicine (Nephrology)
225 SMITH AVE N STE 300
SAINT PAUL, MN 55102
Internal Medicine (Nephrology)
225 SMITH AVE N STE 300
SAINT PAUL, MN 55102
Physician Assistant
225 SMITH AVE N STE 300
SAINT PAUL, MN 55102
Internal Medicine (Nephrology)
225 SMITH AVE N STE 300
SAINT PAUL, MN 55102
Internal Medicine (Nephrology)
225 SMITH AVE N STE 300
SAINT PAUL, MN 55102
Psychologist
225 SMITH AVE N STE 300
SAINT PAUL, MN 55102

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 Nisha Acharya's NPI number?

The NPI number for Nisha Acharya is 1508022963. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Nisha Acharya located?

Nisha Acharya practices at 225 Smith Ave N Ste 300, Saint Paul, MN 55102. The listed phone number is (651) 241-5000.

What is Nisha Acharya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Nisha Acharya enrolled in Medicare?

Yes. Nisha Acharya 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 Nisha Acharya accept?

Health plans from HealthPartners and Medica list Nisha Acharya 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 Nisha Acharya affiliated with any hospitals?

According to CMS data, Nisha Acharya is affiliated with Allina United Hospital, Abbott Northwestern Hospital and River Falls Area Hospital.

When was this NPI record last updated?

The NPPES record for Nisha Acharya was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.