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NISHA GOKHALE M.D.
NPI 1679913768
Psychiatry & Neurology - Psychiatry in Oak Lawn, IL

Active since July 03, 2013PECOS EnrolledAccepts Medicare Assignment
10735 S CICERO AVE STE 100, OAK LAWN, IL 60453(708) 636-2211 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nisha Gokhale M.d. NPPES

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

NISHA GOKHALE M.D. (NPI 1679913768) is an individual psychiatry provider in Oak Lawn, Illinois, licensed in Illinois (036.137983) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1679913768
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameNISHA GOKHALECredential: M.D.
Location Address10735 S CICERO AVE STE 100Oak Lawn, IL 60453-6210
Mailing Address10735 S Cicero Ave Ste 100Oak Lawn, IL 60453-6210 · (708) 636-2211
Phone(708) 636-2211
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 3, 2013
Last NPPES UpdateJune 22, 2023
NPPES CertifiedJune 22, 2023
✔ NPI 1679913768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 036.137983
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
10735 S CICERO AVE STE 100, Oak Lawn, IL 60453
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Nisha Gokhale 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 ID9335458355
PECOS Enrollment IDI20151014001004
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 Reassignment

Medicare enrollment records show Nisha Gokhale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sudhir M Gokhale MD Sc
Same address
Psychiatry
10735 S CICERO AVE STE 100
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • 15 clinicians in this Medicare group
NPI 1003961343 (708) 636-2211

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 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 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.
545 services188 patients
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.
66 services36 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES 5

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

SUDHIR M GOKHALE MD SC
Psychiatry & Neurology (Psychiatry)
10735 S CICERO AVE STE 100
OAK LAWN, IL 60453
Cook County (708) 636-2211
DEBRA RENEE HORAN MSW
Social Worker (Clinical)
10735 S CICERO AVE STE 100
OAK LAWN, IL 60453
Cook County (708) 636-2211
CYNTHIA LYNN RUSNAK
Nurse Practitioner (Psychiatric/Mental Health)
10735 S CICERO AVE STE 100
OAK LAWN, IL 60453
Cook County (708) 636-2211
DR. SUDHIR MADHUKAR GOKHALE M.D.
Psychiatry & Neurology (Psychiatry)
10735 S CICERO AVE STE 100
OAK LAWN, IL 60453
Cook County (708) 636-2211
HARCHARAN SANDHU MD
Psychiatry & Neurology (Psychiatry)
10735 S CICERO AVE STE 100
OAK LAWN, IL 60453
Cook County (708) 636-2211

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 Gokhale's NPI number?

The NPI number for Nisha Gokhale is 1679913768. It was assigned to this individual provider in the NPPES registry on July 3, 2013.

Where is Nisha Gokhale located?

Nisha Gokhale practices at 10735 S Cicero Ave Ste 100, Oak Lawn, IL 60453. The listed phone number is (708) 636-2211.

What is Nisha Gokhale's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nisha Gokhale enrolled in Medicare?

Yes. Nisha Gokhale 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 organization bills Medicare for Nisha Gokhale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Gokhale reassigns Medicare benefits to Sudhir M Gokhale MD Sc (Oak Lawn, IL). The 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 Nisha Gokhale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nisha Gokhale accept?

Health plans from Oscar Health list Nisha Gokhale 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 Nisha Gokhale was last updated on June 22, 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.