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RESHMA R NAIR MD
NPI 1760091573
Family Medicine in Macungie, PA

Active since July 28, 2020PECOS EnrolledAccepts Medicare Assignment
6451 VILLAGE LN, MACUNGIE, PA 18062(610) 967-2772 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2023, Jul 28, 2020 (2 updates tracked since 2020).

About Reshma R Nair Md NPPES

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

RESHMA R NAIR MD (NPI 1760091573) is an individual family medicine provider in Macungie, Pennsylvania, licensed in Pennsylvania (MD482346) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760091573
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRESHMA R NAIRCredential: MD
Location Address6451 VILLAGE LNMacungie, PA 18062-8484
Mailing Address849 Kellogg AveJanesville, WI 53546-2808 · (608) 755-7960 · Fax (608) 755-7873
Phone(610) 967-2772
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 28, 2020
Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1760091573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD482346
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 8282-851 (WI)
6451 VILLAGE LN, Macungie, PA 18062
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Accepted Insurance

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

Reshma R Nair Md 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 ID9739563677
PECOS Enrollment IDI20231031002987
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 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.

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.
87 services59 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.
87 services54 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
35 services35 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18062 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 17

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

ALEXANDRA MARIE SCIASCIA NP
Nurse Practitioner (Family)
6451 VILLAGE LN
MACUNGIE, PA 18062
Lehigh County (835) 222-4291
KRISTEN JEAN ROSEMAN O.D.
Optometrist
6451 VILLAGE LN, SUITE 200
MACUNGIE, PA 18062
Lehigh County (610) 965-1800
JICENDA B CONTRERAS CRNP
Nurse Practitioner (Family)
6451 VILLAGE LN
MACUNGIE, PA 18062
Lehigh County (610) 967-2772
JOHN BESSADA DO
Family Medicine
6451 VILLAGE LN
MACUNGIE, PA 18062
Lehigh County (610) 967-2772
KAREN MELICI MSW, LCSW
Social Worker (Clinical)
6451 VILLAGE LN
MACUNGIE, PA 18062
Lehigh County (610) 967-2772
DR. LINDSAY RAE PEREIRA D.O.
Family Medicine
6451 VILLAGE LN
MACUNGIE, PA 18062
Lehigh County (610) 967-2772
DR. ANTONI MICHAEL WICHRYK O.D.
Optometrist
6451 VILLAGE LN, SUITE 200
MACUNGIE, PA 18062
Lehigh County (610) 965-1800
MR. ADAM L LEFEROVICH PA-C
Physician Assistant (Medical)
6451 VILLAGE LN
MACUNGIE, PA 18062
Lehigh County (610) 967-2772

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 Reshma Nair's NPI number?

The NPI number for Reshma Nair is 1760091573. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Reshma Nair located?

Reshma Nair practices at 6451 Village Ln, Macungie, PA 18062. The listed phone number is (610) 967-2772.

What is Reshma Nair's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Reshma Nair enrolled in Medicare?

Yes. Reshma Nair 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 Reshma Nair accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Reshma Nair 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 Reshma Nair affiliated with any hospitals?

According to CMS data, Reshma Nair is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Reshma Nair was last updated on October 17, 2023. 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.