DR. NILESH NARENDRA PAPAIYA O.D.
NPI 1649337809
Optometrist in South Plainfield, NJ
About Dr. Nilesh Narendra Papaiya O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NILESH NARENDRA PAPAIYA O.D. (NPI 1649337809) is an individual optometrist in South Plainfield, New Jersey, licensed in New Jersey (27OA00600601) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Pennsylvania College Of Optometry (2005).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Dr. Nilesh Narendra Papaiya O.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.
Medicare Billing Reassignments
6Medicare enrollment records show Nilesh Papaiya reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Plainfield, NJ 07080
- Reassigned Medicare billing, New Jersey enrollment
- 5 clinicians in this Medicare group
South Plainfield, NJ 07080
- Reassigned Medicare billing, New Jersey enrollment
- 4 clinicians in this Medicare group
East Hanover, NJ 07936
- Reassigned Medicare billing, New Jersey enrollment
- 10 clinicians in this Medicare group
Bloomfield, NJ 07003
- Reassigned Medicare billing, New Jersey enrollment
- 137 clinicians in this Medicare group
Fair Lawn, NJ 07410
- Reassigned Medicare billing, New Jersey enrollment
- 11 clinicians in this Medicare group
Fair Lawn, NJ 07410
- Reassigned Medicare billing, New Jersey enrollment
- 19 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH PLAINFIELD, NJ 07080
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 Nilesh Papaiya's NPI number?
The NPI number for Nilesh Papaiya is 1649337809. It was assigned to this individual provider in the NPPES registry on January 3, 2007.
Where is Nilesh Papaiya located?
Nilesh Papaiya practices at 911 Oak Tree Ave Ste A1, South Plainfield, NJ 07080. The listed phone number is (908) 822-1100.
What is Nilesh Papaiya's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Nilesh Papaiya enrolled in Medicare?
Yes. Nilesh Papaiya 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 Nilesh Papaiya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nilesh Papaiya reassigns Medicare benefits to 6 organizations: Us Visionmed Partners Optometry Of New Jersey LLC (South Plainfield, NJ), Eyekrafters Medical Optics,p.C. (South Plainfield, NJ), Tml Vision Care, LLC (East Hanover, NJ), Eye Centers Of America, LLC (Bloomfield, NJ), Home Vision Group LLC (Fair Lawn, NJ) and 1 more organization, 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 Nilesh Papaiya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nilesh Papaiya accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Nilesh Papaiya 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 Nilesh Papaiya was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Nilesh Narendra Papaiya, O.D. · NPI 1649337809
Optometrist provider in South Plainfield, New Jersey. Individual provider, active in the CMS NPPES registry since January 3, 2007.
## Identity
- **NPI:** 1649337809 (Entity type: Individual)
- **Enumerated:** January 3, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 27OA00600601 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 911 OAK TREE AVE STE A1, South Plainfield, NJ 07080-5130
- **Phone:** (908) 822-1100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Us Visionmed Partners Optometry Of New Jersey LLC (NPI 1649006198, South Plainfield, NJ); Eyekrafters Medical Optics,p.C. (NPI 1578614947, South Plainfield, NJ); Tml Vision Care, LLC (NPI 1275806929, East Hanover, NJ); Eye Centers Of America, LLC (NPI 1649563636, Bloomfield, NJ); Home Vision Group LLC (NPI 1609067230, Fair Lawn, NJ); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania College Of Optometry, class of 2005
## Record status
- **NPPES last updated:** May 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1649337809) · Data from the CMS NPPES public registry.