NIMISH SHAILESH DHARIA MD
NPI 1568484061
Internal Medicine - Cardiovascular Disease in New Hyde Park, NY

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
76.52/100
CMS Quality Rating
2035 LAKEVILLE ROAD, NEW HYDE PARK, NY 11040(576) 328-9797(576) 352-6579 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nimish Shailesh Dharia Md NPPES

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

NIMISH SHAILESH DHARIA MD (NPI 1568484061) is an individual cardiovascular disease provider in New Hyde Park, New York, licensed in New York (215489) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Albany Medical College Of Union University (1997).

NPPES Registry Identity

NPI1568484061
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameNIMISH SHAILESH DHARIACredential: MD
Location Address2035 LAKEVILLE ROADNew Hyde Park, NY 11040
Mailing Address2035 Lakeville RdNew Hyde Park, NY 11040-1600 · (516) 328-9797 · Fax (516) 352-6579
Fax(576) 352-6579
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1997
Enumeration DateJuly 24, 2006
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
NPI 1568484061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 215489
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 215489 (NY)
Also ListedNuclear Medicine · In Vivo & In Vitro Nuclear MedicineTaxonomy 207UN0903X · License 215489 (NY)
2035 LAKEVILLE ROAD, New Hyde Park, NY 11040

Other Identifiers 1

Medicaid02618793NY

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 Shailesh Dharia 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 ID8820079700
PECOS Enrollment IDI20040526001215
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 29

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, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
1,276 services315 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.
1,122 services424 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
916 services415 patients
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries A9555
Rubidium Rb-82 is a radioactive drug used in a PET scan to help visualize the heart. It helps detect areas with poor blood flow, aiding in diagnosing heart conditions. The dose is up to 60 millicuries per study.
594 services297 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
414 services399 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
360 services358 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
95%280 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
86%450 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers27 claims63 services$5.67 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims14 services$0.86 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.

Internal Medicine
2035 LAKEVILLE ROAD
NEW HYDE PARK, NY 11040
Dentist (Endodontics)
2035 LAKEVILLE ROAD, SUITE 205
NEW HYDE PARK, NY 11040
Internal Medicine
2035 LAKEVILLE ROAD
NEW HYDE PARK, NY 11040
Pediatrics (Pediatric Cardiology)
2035 LAKEVILLE ROAD
NEW HYDE PARK, NY 11040
Internal Medicine (Cardiovascular Disease)
2035 LAKEVILLE ROAD
NEW HYDE PARK, NY 11040

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 Dharia's NPI number?

The NPI number for Nimish Dharia is 1568484061. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Nimish Dharia located?

Nimish Dharia practices at 2035 Lakeville Road, New Hyde Park, NY 11040. The listed phone number is (576) 328-9797.

What is Nimish Dharia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nimish Dharia enrolled in Medicare?

Yes. Nimish Dharia 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.

Is Nimish Dharia affiliated with any hospitals?

According to CMS data, Nimish Dharia is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Nimish Dharia was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.