NISHANT D MERCHANT MD
Accepted Insurance for 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

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

Does Dr. Merchant take my insurance?

Anthem Blue Cross and Blue Shield includes Dr. Merchant in 17 Connecticut plans sold on Access Health CT for 2026.

InsurerAnthem Blue Cross and Blue Shield 17 plans

Call before you book: insurer directories can be out of date, so call the office at (860) 246-2071 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

Connecticut plans 17 plans

Plans sold to Connecticut residents. Costs are for the standard version of each plan.

Anthem Blue Cross and Blue Shield

17 plans · HMO, PPO · small business (SHOP)

Accepting new patients

Pathway CT PPO, Dental Prime, and Pharmacy Advantage Network · 6 plans · Participating tier

Platinum Pathway CT PPOPPOPlatinum$086545CT1300072

Gold Pathway CT PPOPPOGold$1,50086545CT1300069

Silver Pathway CT PPO w HSAPPOSilver$3,50086545CT1300081

Silver Pathway CT PPOPPOSilver$4,50086545CT1300077

Bronze Pathway CT PPOPPOBronze$10,00086545CT1260016

Bronze Pathway CT PPO w HSAPPOExpanded Bronze$8,00086545CT1300071

Pathway, Dental Prime, and Pharmacy Advantage Network · 5 plans · Participating tier

Gold PPO Standard PathwayPPOGold$1,20086545CT1330003

Gold PPO Pathway with Adult Dental and Vision BenefitsPPOGold$2,00086545CT1330020

Silver PPO Standard PathwayPPOSilver$5,00086545CT1330001

Bronze PPO Standard Pathway HSAPPOExpanded Bronze$6,50086545CT1330009

Bronze PPO Standard PathwayPPOExpanded Bronze$7,00086545CT1330002

Pathway Enhanced, Dental Prime, and Pharmacy Advantage Network · 3 plans · Participating tier

Gold HMO Pathway Enhanced with Adult Dental and Vision BenefitsHMOGold$2,00086545CT1230027

Bronze HMO Pathway Enhanced with Adult Dental and Vision BenefitsHMOExpanded Bronze$7,00086545CT1230025

Catastrophic HMO Pathway EnhancedHMOCatastrophic$10,60086545CT1230005

Pathway and Pharmacy Advantage Network · 2 plans · Participating tier

Gold PPO PathwayPPOGold$2,00086545CT1570002

Bronze PPO Pathway with PreventiveRx HSAPPOExpanded Bronze$6,00086545CT1570001

Pathway Enhanced and Pharmacy Advantage Network · 1 plan · Participating tier

Bronze HMO Pathway EnhancedHMOExpanded Bronze$7,00086545CT1580001

Questions about Dr. Merchant’s insurance

Does Dr. Merchant take Anthem Blue Cross and Blue Shield?

For Connecticut Marketplace plans, yes: Anthem Blue Cross and Blue Shield includes Dr. Merchant in 17 plans for 2026. Call the office at (860) 246-2071 to confirm your plan before booking.

Is Dr. Merchant accepting new patients?

The insurers that list Dr. Merchant report that Dr. Merchant is accepting new patients. Call the office at (860) 246-2071 to confirm your plan before booking.

Do I need a referral to see Dr. Merchant?

Not under the Connecticut plans that list Dr. Merchant: the 2026 plan files say a specialist referral is not required.

Does Dr. Merchant accept Medicare?

Yes. CMS files show Dr. Merchant accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

Source	What it provides here	Source date
Insurer provider directory files	Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.	Anthem Blue Cross and Blue Shield: Oct 15, 2026
CMS state-based exchange public use files	Plan details for states that run their own exchange, here Connecticut. No document links.	Plan year 2026, Jun 3, 2026

Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
Networks change during the year. Confirm with your insurer or the practice before booking.