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NIMISH S NAIK M.D.
NPI 1508910159
Internal Medicine - Nephrology in Wexford, PA

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment
39.74/100
CMS Quality Rating
6500 BROOKTREE RD, WEXFORD, PA 15090(724) 935-2955(412) 766-1306 Get Directions Write a Review

NPPES record last updated: June 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2025, Sep 23, 2022, Jan 15, 2020 (3 updates tracked since 2020).

About Nimish S Naik M.d. NPPES

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

NIMISH S NAIK M.D. (NPI 1508910159) is an individual nephrology provider in Wexford, Pennsylvania, licensed in Pennsylvania (MD444688) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with East Liverpool City Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1508910159
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameNIMISH S NAIKCredential: M.D.
Location Address6500 BROOKTREE RDWexford, PA 15090-9272
Mailing Address6500 Brooktree Rd Ste 1100Wexford, PA 15090-9272 · (412) 766-3232 · Fax (412) 766-4320
Phone(724) 935-2955
Fax(412) 766-1306
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2006
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJune 28, 20253 updates tracked since enumeration
NPPES CertifiedJune 28, 2025
✔ NPI 1508910159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in PA · MD444688✔ Licensed in OH · 35.098996
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
6500 BROOKTREE RD, Wexford, PA 15090
Open in Google Maps ↗

Secondary Practice Locations 7

Location 1325 W 6th StEast Liverpool, OH 43920-2803 · Phone (330) 385-4040 · Fax (412) 766-1306
Location 2631 N Broad Street ExtGrove City, PA 16127-4603 · Phone (724) 458-4447 · Fax (724) 346-3659
Location 32562 Constitution BlvdBeaver Falls, PA 15010-1249 · Phone (724) 846-4934 · Fax (412) 766-1306
Location 4737 Brookshire DrHermitage, PA 16148-4507 · Phone (724) 346-0400 · Fax (724) 346-3659
Location 5264 Haida Ave Ste DHastings, PA 16646-5611 · Phone (412) 766-3232 · Fax (412) 766-4320
Location 6490 E North Ave Ste 400Pittsburgh, PA 15212-4740 · Phone (412) 766-3232 · Fax (412) 766-1306
Location 7158 Elmwood DrPunxsutawney, PA 15767-2608 · Phone (814) 902-7181 · Fax (412) 766-4193

Other Identifiers 3

Medicaid0071371OH
Medicaid3910005187WV
Medicaid102718794PA

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nimish S Naik 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 ID3971656919
PECOS Enrollment IDI20120604000547, I20120712000735
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 10

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.
424 services124 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
262 services36 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.
186 services125 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.
98 services53 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
60 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
49 services43 patients

Hospital Affiliations CMS Care Compare 5

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

East Liverpool City Hospital

Acute Care Hospitals · East Liverpool, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360096
Location425 West 5th StreetEast Liverpool, OH 43920 · Columbiana County
Emergency services

Heritage Valley Beaver

Acute Care Hospitals · Beaver, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390036
Location1000 Dutch Ridge RoadBeaver, PA 15009 · Beaver County
Emergency services

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15090 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

39.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability37
Improvement Activities20
Cost59.96

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers30 claims1,995 services$0.27 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims1,560 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers26 claims26 services$17.47 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers17 claims17 services$10.71 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 5

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

DR. DAN MARIO UDREA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
6500 BROOKTREE RD, SUITE 208
WEXFORD, PA 15090
Allegheny County (412) 695-3181
LINDSAY RUDOLPH L.C.S.W.
Social Worker (Clinical)
6500 BROOKTREE RD, SUITE 208
WEXFORD, PA 15090
Allegheny County (724) 299-1095
MARLIN VENTURES LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
6500 BROOKTREE RD
WEXFORD, PA 15090
Allegheny County (724) 935-0460
ELEXIS NICOLE KOZIK RDN, LDN
Dietitian, Registered
6500 BROOKTREE RD
WEXFORD, PA 15090
Allegheny County (724) 719-2669
GABRIEL T. WEINBERG D.O.
Internal Medicine (Nephrology)
6500 BROOKTREE RD
WEXFORD, PA 15090
Allegheny County (724) 935-2955

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 Nimish Naik's NPI number?

The NPI number for Nimish Naik is 1508910159. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Nimish Naik located?

Nimish Naik practices at 6500 Brooktree Rd, Wexford, PA 15090. The listed phone number is (724) 935-2955.

What is Nimish Naik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nimish Naik enrolled in Medicare?

Yes. Nimish Naik 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 Nimish Naik accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Nimish Naik 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 Nimish Naik affiliated with any hospitals?

According to CMS data, Nimish Naik is affiliated with East Liverpool City Hospital, Heritage Valley Beaver, Allegheny General Hospital, Upmc Passavant and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Nimish Naik was last updated on June 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.