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SHIKHA JAISWAL M.B.B.S.
NPI 1740536077
Internal Medicine - Nephrology in Cincinnati, OH

Active since July 24, 2012PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
231 ALBERT SABIN WAY, CINCINNATI, OH 45267(513) 558-0372 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 3, 2023, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2015).

About Shikha Jaiswal M.b.b.s. NPPES

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

SHIKHA JAISWAL M.B.B.S. (NPI 1740536077) is an individual nephrology provider in Cincinnati, Ohio, licensed in Ohio (35.130105) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740536077
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSHIKHA JAISWALCredential: M.B.B.S.
Location Address231 ALBERT SABIN WAYCincinnati, OH 45267-3660
Mailing AddressPo Box 636256Cincinnati, OH 45263-6256 · (513) 585-6200 · Fax (513) 245-3672
Phone(513) 558-0372
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2015
Enumeration DateJuly 24, 2012
Last NPPES UpdateMay 3, 20235 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
✔ NPI 1740536077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in OH · 35.130105✔ Licensed in WV · 27315
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
231 ALBERT SABIN WAY, Cincinnati, OH 45267
Open in Google Maps ↗

Secondary Practice Locations 2

Location 158 16th St Ste 500Wheeling, WV 26003-3660 · Phone (304) 242-7751 · Fax (304) 242-7254
Location 22055 E South Blvd, Ste 200Montgomery, AL 36116-2001 · Phone (334) 551-2002

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Shikha Jaiswal M.b.b.s. 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 ID2264732114
PECOS Enrollment IDI20170711001320
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 Shikha Jaiswal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Cincinnati Physicians Company, LLC
0.1 mi
Family Medicine
3188 BELLEVUE AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 2,038 clinicians in this Medicare group
NPI 1801840434 (513) 584-1000

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 6

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 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.
206 services74 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
103 services64 patients
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.
99 services56 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.
86 services50 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.
54 services52 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45267 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
99%165 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
69%1,124 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
1%334 patients1/55-star benchmark: 95%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers13 claims13 services$18.82 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers23 claims25 services$12.54 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.

AHMED ELSAYED SARHAN MD
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-3903
JENNA NICOLE WHITROCK
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY, ML 0558
CINCINNATI, OH 45267
Hamilton County (217) 617-7664
WARREN BACK
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-7333
NOELLE KIPP
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-2978
HEATHER NICOLE KALEY
Thoracic Surgery (Cardiothoracic Vascular Surgery)
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (720) 254-5993
LAURA BENDER
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (216) 538-3356
KAVYA KEERTHI VADLAMUDI
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-1051
GREGORY RETZINGER MD
Pathology (Clinical Pathology/Laboratory Medicine)
231 ALBERT SABIN WAY, DEPARTMENT OF PATHOLOGY
CINCINNATI, OH 45267
Hamilton County (513) 558-4500

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 Shikha Jaiswal's NPI number?

The NPI number for Shikha Jaiswal is 1740536077. It was assigned to this individual provider in the NPPES registry on July 24, 2012.

Where is Shikha Jaiswal located?

Shikha Jaiswal practices at 231 Albert Sabin Way, Cincinnati, OH 45267. The listed phone number is (513) 558-0372.

What is Shikha Jaiswal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Shikha Jaiswal enrolled in Medicare?

Yes. Shikha Jaiswal 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 Shikha Jaiswal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shikha Jaiswal reassigns Medicare benefits to University Of Cincinnati Physicians Company, LLC (Cincinnati, OH). 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 Shikha Jaiswal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shikha Jaiswal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Shikha Jaiswal 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 Shikha Jaiswal affiliated with any hospitals?

According to CMS data, Shikha Jaiswal is affiliated with University Of Cincinnati Medical Center, LLC, Miami Valley Hospital and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Shikha Jaiswal was last updated on May 3, 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.