DR. ATUL MAINI M.D.
NPI 1780876268
Internal Medicine - Nephrology in Maspeth, NY

Q: What is Atul Maini's NPI number?

The NPI number for Atul Maini is 1780876268. It was assigned to this individual provider in the NPPES registry on August 17, 2007.

Q: What is Atul Maini's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Atul Maini was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 17, 2007PECOS EnrolledAccepts Medicare Assignment

21.43/100

CMS Quality Rating

6519 BORDEN AVE, MASPETH, NY 11378(718) 899-0060(718) 899-0175 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Atul Maini M.d. NPPES

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

DR. ATUL MAINI M.D. (NPI 1780876268) is an individual nephrology provider in Maspeth, New York, licensed in New Jersey (25MA09258400) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1780876268

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. ATUL MAINICredential: M.D.

Location Address6519 BORDEN AVEMaspeth, NY 11378-1630

Mailing Address1 Bethany Rd Ste 91Hazlet, NJ 07730-1669 · (732) 847-3662 · Fax (732) 344-6963

Phone(718) 899-0060

Fax(718) 899-0175

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateAugust 17, 2007

Last NPPES UpdateAugust 16, 2022

NPPES CertifiedAugust 16, 2022

✔ NPI 1780876268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NJ · 25MA09258400

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 ListedInternal MedicineTaxonomy 207R00000X · License 245574 (NY)

6519 BORDEN AVE, Maspeth, NY 11378

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Other Identifiers 1

Medicaid02965864NY

Accepted Insurance

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

Dr. Atul Maini 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 ID3678651841

PECOS Enrollment IDI20150504000851

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 Reassignments

Medicare enrollment records show Atul Maini reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sai Nephrology LLC

27 mi

Nephrology

668 N BEERS ST, SUITE 100
Holmdel, NJ 07733

Reassigned Medicare billing, New Jersey enrollment

NPI 1801290424 (732) 264-2723

Kidney Care Centers

32 mi

Nephrology

6 INDUSTRIAL WAY W STE B
Eatontown, NJ 07724

Reassigned Medicare billing, New Jersey enrollment
25 clinicians in this Medicare group

NPI 1689302424 (732) 460-1200

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 13

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 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.

3,317 services702 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.

387 services169 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.

347 services313 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

278 services248 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

110 services19 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.

70 services70 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

61 services54 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

55 services28 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

53 services15 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

46 services15 patients

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.

36 services27 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.

35 services31 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310039

Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County

Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number310052

Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County

Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310073

Location1945 State Route 33Neptune, NJ 07753 · Monmouth County

Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310111

Location901 West Main StreetFreehold, NJ 07728 · Monmouth County

Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310112

Location727 N Beers StHolmdel, NJ 07733 · Monmouth County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11378 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

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

21.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

71.46

Other Providers at the Same Location NPPES 4

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

MS. ANITA WONG MPH, RD, CNSC, CDN

Dietitian, Registered

6519 BORDEN AVE
MASPETH, NY 11378

Queens County (718) 899-0060

ESTER MIRZOKANDOVA

Nurse Practitioner (Family)

6519 BORDEN AVE
MASPETH, NY 11378

Queens County (718) 581-3212

MANI VASCULAR SURGERY PLLC

Surgery (Vascular Surgery)

6519 BORDEN AVE
MASPETH, NY 11378

Queens County (516) 513-5639

YONKERS AVE MEDICAL CARE PC

Orthopaedic Surgery

6519 BORDEN AVE
MASPETH, NY 11378

Queens County (718) 280-5760

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 Atul Maini's NPI number?

The NPI number for Atul Maini is 1780876268. It was assigned to this individual provider in the NPPES registry on August 17, 2007.

Where is Atul Maini located?

Atul Maini practices at 6519 Borden Ave, Maspeth, NY 11378. The listed phone number is (718) 899-0060.

What is Atul Maini's specialty?

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

Is Atul Maini enrolled in Medicare?

Yes. Atul Maini 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 Atul Maini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Atul Maini reassigns Medicare benefits to 2 organizations: Sai Nephrology LLC (Holmdel, NJ) and Kidney Care Centers (Eatontown, NJ). 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 Atul Maini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Atul Maini accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Atul Maini 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 Atul Maini affiliated with any hospitals?

According to CMS data, Atul Maini is affiliated with Raritan Bay Medical Center, Ocean Medical Center, Jersey Shore University Medical Center, Centrastate Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Atul Maini was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.