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NIKHIL GOPAL
NPI 1629422563
Urology in Bethesda, MD

Active since April 18, 2016PECOS EnrolledAccepts Medicare Assignment
86.79/100
CMS Quality Rating
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814(410) 955-5000 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nikhil Gopal NPPES

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

NIKHIL GOPAL (NPI 1629422563) is an individual urology provider in Bethesda, Maryland, licensed in Maryland (D92371) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Of Memphis, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629422563
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameNIKHIL GOPAL
Location Address8600 OLD GEORGETOWN RDBethesda, MD 20814-1422
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004
Phone(410) 955-5000
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2016
Enumeration DateApril 18, 2016
Last NPPES UpdateApril 5, 2024
NPPES CertifiedApril 5, 2024
✔ NPI 1629422563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in MD · D92371✔ Licensed in TN · 67953
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8600 OLD GEORGETOWN RD, Bethesda, MD 20814
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 Woods RdValhalla, NY 10595-1530 · Phone (914) 493-7000
Location 2880 Madison AveMemphis, TN 38103-3409 · Phone (901) 545-6969 · Fax (901) 545-7486

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.Insurance ›

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

Nikhil Gopal 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 ID143601799
PECOS Enrollment IDI20231005003539
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 3

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.

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.
68 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

Regional One Health

Acute Care Hospitals · Memphis, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440152
Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20814 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

86.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.46
Promoting Interoperability97
Improvement Activities40
Cost72

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.

CARLOS MANUEL CAMPA MALDONADO
Plastic Surgery
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Montgomery County (301) 896-2578
DR. KEITH A HORVATH M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Montgomery County (301) 896-7610
MRS. DINA L GALITZ NP
Nurse Practitioner (Family)
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Montgomery County (301) 896-2654
SPAA
General Acute Care Hospital
8600 OLD GEORGETOWN RD, SUBURBAN HOSPITAL
BETHESDA, MD 20814
Montgomery County (301) 896-3100
SHEILA RAO PA
Physician Assistant
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Montgomery County (301) 896-2578
AMY ELIZABETH MCKEE M.D.
Emergency Medicine (Pediatric Emergency Medicine)
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Montgomery County (301) 896-3054
MR. CHRISTIAN PELTE M.D.
Internal Medicine (Critical Care Medicine)
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Montgomery County (301) 896-3990
SUSAN CECILIA MORENO RPA-C
Physician Assistant
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Montgomery County (301) 896-7500

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 Nikhil Gopal's NPI number?

The NPI number for Nikhil Gopal is 1629422563. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Nikhil Gopal located?

Nikhil Gopal practices at 8600 Old Georgetown Rd, Bethesda, MD 20814. The listed phone number is (410) 955-5000.

What is Nikhil Gopal's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Nikhil Gopal enrolled in Medicare?

Yes. Nikhil Gopal 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.

What insurance does Nikhil Gopal accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Nikhil Gopal 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 Nikhil Gopal affiliated with any hospitals?

According to CMS data, Nikhil Gopal is affiliated with Methodist Hospitals Of Memphis and Regional One Health.

When was this NPI record last updated?

The NPPES record for Nikhil Gopal was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.