MRS. NISHA UNNIKRISHNAN PILLAI M.D
NPI 1609859453
Internal Medicine - Cardiovascular Disease in Middletown, NY

Active since November 25, 2005PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
111 MALTESE DR, MIDDLETOWN, NY 10940(845) 342-4774(845) 343-8741 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Nisha Unnikrishnan Pillai M.d NPPES

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

MRS. NISHA UNNIKRISHNAN PILLAI M.D (NPI 1609859453) is an individual cardiovascular disease provider in Middletown, New York, licensed in New York (222069) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Nassau University Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1609859453
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameMRS. NISHA UNNIKRISHNAN PILLAICredential: M.D
Location Address111 MALTESE DRMiddletown, NY 10940-2115
Mailing Address111 Maltese DrMiddletown, NY 10940-2115 · (845) 342-4774 · Fax (845) 343-8741
Fax(845) 343-8741
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateNovember 25, 2005
Last NPPES UpdateNovember 14, 2025
NPPES CertifiedNovember 14, 2025
NPI 1609859453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 222069
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.
111 MALTESE DR, Middletown, NY 10940

Other Names 1

Former Name (1)Ms. Nisha Rajan

Other Identifiers 1

Medicaid02680317NY

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

Mrs. Nisha Unnikrishnan Pillai 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 ID8123043957
PECOS Enrollment IDI20051011000865
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 8

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
831 services697 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.
192 services174 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.
135 services131 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.
64 services52 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.
40 services39 patients
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.
21 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Nassau University Medical Center

Acute Care Hospitals · East Meadow, NY
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number330027
Location2201 Hempstead TurnpikeEast Meadow, NY 11554 · Nassau County
Emergency services Birthing friendly

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10940 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Internal Medicine (Cardiovascular Disease)
111 MALTESE DR
MIDDLETOWN, NY 10940
Internal Medicine
111 MALTESE DR
MIDDLETOWN, NY 10940
Orthopaedic Surgery
111 MALTESE DR
MIDDLETOWN, NY 10940
Obstetrics & Gynecology
111 MALTESE DR
MIDDLETOWN, NY 10940
Nurse Practitioner (Family)
111 MALTESE DR
MIDDLETOWN, NY 10940
Nurse Practitioner (Family)
111 MALTESE DR
MIDDLETOWN, NY 10940
Specialist
111 MALTESE DR
MIDDLETOWN, NY 10940
Nurse Practitioner (Family)
111 MALTESE DR
MIDDLETOWN, NY 10940

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 Pillai's NPI number?

The NPI number for Nisha Pillai is 1609859453. It was assigned to this individual provider in the NPPES registry on November 25, 2005. The provider is also known as Ms. Nisha Rajan.

Where is Nisha Pillai located?

Nisha Pillai practices at 111 Maltese Dr, Middletown, NY 10940. The listed phone number is (845) 342-4774.

What is Nisha Pillai's specialty?

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

Is Nisha Pillai enrolled in Medicare?

Yes. Nisha Pillai 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 Nisha Pillai affiliated with any hospitals?

According to CMS data, Nisha Pillai is affiliated with Nassau University Medical Center and University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Nisha Pillai was last updated on November 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.