DR. TUSHAR NAYAR M.D.
NPI 1619120300
Internal Medicine in Louisville, KY

Active since October 28, 2008PECOS Enrolled
73.19/100
CMS Quality Rating
200 E CHESTNUT ST, SERVICE BLDG., STE. 303, LOUISVILLE, KY 40202(502) 629-5552(502) 629-3132 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tushar Nayar M.d. NPPES

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

DR. TUSHAR NAYAR M.D. (NPI 1619120300) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (44686) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1619120300
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TUSHAR NAYARCredential: M.D.
Location Address200 E CHESTNUT ST, SERVICE BLDG., STE. 303Louisville, KY 40202-1831
Mailing AddressPo Box 950202Louisville, KY 40295-0202 · (502) 588-9490 · Fax (502) 272-5116
Fax(502) 629-3132
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 28, 2008
Last NPPES UpdateOctober 6, 2015
✔ NPI 1619120300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in KY · 44686✔ Licensed in OH · 57-014474
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License P7320 (TX)
200 E CHESTNUT ST, Louisville, KY 40202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tushar Nayar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577724772
PECOS Enrollment IDI20230620003191
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

8

Medicare enrollment records show Tushar Nayar reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
200 E CHESTNUT ST
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
Family Medicine
720 W HILL ST
Louisville, KY 40208
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
Hospitalist
1850 STATE ST
New Albany, IN 47150
  • Reassigned Medicare billing, Indiana enrollment
  • 163 clinicians in this Medicare group
Family Medicine
3909 S WILSON RD
Radcliff, KY 40160
  • Reassigned Medicare billing, Indiana enrollment
  • 8 clinicians in this Medicare group
Internal Medicine
1 SAINT JOSEPH DR
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 236 clinicians in this Medicare group
Hospitalist
600 WILSON CREEK RD
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Kentucky enrollment
  • 106 clinicians in this Medicare group
Pulmonary Disease
4551 SPRINGHILL DR
Owensboro, KY 42303
  • Reassigned Medicare billing, Kentucky and Indiana enrollments
  • Also billed through NPI 1619755329 (Indiana)
  • 144 clinicians in this Medicare group
Hospitalist
7950 W JEFFERSON BLVD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 309 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 5

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.
534 services275 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.
369 services203 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
307 services296 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.
23 services23 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150044
Location1850 State StNew Albany, IN 47150 · Floyd County
Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers20 claims20 services$14.10 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers32 claims32 services$63.67 avg. paid by Medicare
Heavy duty wheelchair K0006
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$38.86 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 20

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

Physician Assistant (Medical)
200 E CHESTNUT ST, SUITE 303
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Nurse Practitioner (Acute Care)
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Pharmacy (Institutional Pharmacy)
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Internal Medicine
200 E CHESTNUT ST, SUITE 303
LOUISVILLE, KY 40202
Obstetrics & Gynecology
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Internal Medicine
200 E CHESTNUT ST, SERVICE BUILDING SUITE 303
LOUISVILLE, KY 40202

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 Tushar Nayar's NPI number?

The NPI number for Tushar Nayar is 1619120300. It was assigned to this individual provider in the NPPES registry on October 28, 2008.

Where is Tushar Nayar located?

Tushar Nayar practices at 200 E Chestnut St Service Bldg., Ste. 303, Louisville, KY 40202. The listed phone number is (502) 629-5552.

What is Tushar Nayar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tushar Nayar enrolled in Medicare?

Yes. Tushar Nayar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tushar Nayar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tushar Nayar reassigns Medicare benefits to 8 organizations: University Of Louisville Physicians, Inc. (Louisville, KY), Community Medical Associates, Inc. (Louisville, KY), New Albany Hospitalist Group, LLC (New Albany, IN), Pinnacle Inpatient Medical Services, PLLC (Radcliff, KY), Cogent Healthcare Of Kentucky, Psc (Lexington, KY) and 3 more organizations, listed in the Medicare section above. 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 Tushar Nayar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tushar Nayar accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource, Cigna Healthcare and Oscar Insurance Company list Tushar Nayar 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 Tushar Nayar affiliated with any hospitals?

According to CMS data, Tushar Nayar is affiliated with Baptist Health Floyd and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Tushar Nayar was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.