NISHANT D MERCHANT MD
NPI 1609035021
Surgery - Surgical Critical Care in Hartford, CT

Active since June 02, 2008PECOS EnrolledAccepts Medicare Assignment
86.41/100
CMS Quality Rating
85 SEYMOUR ST STE 415, HARTFORD, CT 06106(860) 246-2071(860) 524-2650 Get Directions Write a Review

NPPES record last updated: July 25, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nishant D Merchant Md NPPES

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

NISHANT D MERCHANT MD (NPI 1609035021) is an individual surgical critical care provider in Hartford, Connecticut, licensed in Connecticut (51720) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hartford, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1609035021
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameNISHANT D MERCHANTCredential: MD
Location Address85 SEYMOUR ST STE 415Hartford, CT 06106
Mailing Address85 Seymour St Ste 415Hartford, CT 06106-5523 · (860) 246-2071 · Fax (860) 524-2650
Fax(860) 524-2650
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 2, 2008
Last NPPES UpdateJuly 25, 2018
✔ NPI 1609035021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in CT · 51720
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License MD15107 (RI), 51720 (CT), 233447 (MA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 051720 (CT)
85 SEYMOUR ST STE 415, Hartford, CT 06106

Secondary Practice Location 1

Location 180 Seymour Street, Surgery DeptHartford, CT 06102-5037 · Phone (860) 972-5022

Accepted Insurance

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

Nishant D Merchant 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 ID9335369412
PECOS Enrollment IDI20170530001491
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

4

Medicare enrollment records show Nishant Merchant reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
General Acute Care Hospital
80 SEYMOUR ST
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,333 clinicians in this Medicare group
Surgery
1290 SILAS DEANE HWY, ATTN: LINDA STRAKA
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 747 clinicians in this Medicare group
Hospitalist
100 GRAND ST
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 745 clinicians in this Medicare group

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 4

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
66 services21 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.
18 services18 patients
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.
18 services18 patients
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.
15 services11 patients

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.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

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.

Surgery
85 SEYMOUR ST STE 415
HARTFORD, CT 06106
Surgery
85 SEYMOUR ST STE 415
HARTFORD, CT 06106
Surgery (Surgical Critical Care)
85 SEYMOUR ST STE 415
HARTFORD, CT 06106
Surgery
85 SEYMOUR ST STE 415
HARTFORD, CT 06106
Physician Assistant (Surgical)
85 SEYMOUR ST STE 415
HARTFORD, CT 06106

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 Nishant Merchant's NPI number?

The NPI number for Nishant Merchant is 1609035021. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Where is Nishant Merchant located?

Nishant Merchant practices at 85 Seymour St Ste 415, Hartford, CT 06106. The listed phone number is (860) 246-2071.

What is Nishant Merchant's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Nishant Merchant enrolled in Medicare?

Yes. Nishant Merchant 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.

Which organizations bill Medicare for Nishant Merchant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nishant Merchant reassigns Medicare benefits to 4 organizations: Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT), Hartford Hospital (Hartford, CT), Hartford Healthcare Medical Group, Inc (Wethersfield, CT) and The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nishant Merchant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nishant Merchant accept?

Health plans from Anthem Blue Cross and Blue Shield list Nishant Merchant 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.

When was this NPI record last updated?

The NPPES record for Nishant Merchant was last updated on July 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.