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NIKHIL B ACHARYA M.D
NPI 1780947135
Internal Medicine in Tyler, TX

Active since June 20, 2012PECOS Enrolled
89.36/100
CMS Quality Rating
800 E DAWSON ST, TYLER, TX 75701(903) 593-8441 Get Directions Write a Review

NPPES record last updated: June 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nikhil B Acharya M.d NPPES

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

NIKHIL B ACHARYA M.D (NPI 1780947135) is an individual internal medicine provider in Tyler, Texas, licensed in Texas (Q4001) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1780947135
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNIKHIL B ACHARYACredential: M.D
Location Address800 E DAWSON STTyler, TX 75701-2036
Mailing Address2051 W Cumberland Rd, Apt # 235Tyler, TX 75703-5343 · (773) 964-6679
Phone(903) 593-8441
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 20, 2012
Last NPPES UpdateJune 23, 2015
✔ NPI 1780947135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · Q4001
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
800 E DAWSON ST, Tyler, TX 75701
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikhil B Acharya M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143533166
PECOS Enrollment IDI20150721000283
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.

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.
1,548 services277 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.
317 services65 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
280 services69 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
196 services170 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.
187 services161 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
49 services41 patients

Hospital Affiliations CMS Care Compare 5

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Methodist Richardson Medical Center

Acute Care Hospitals · Richardson, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450537
Location2831 E President George Bush HighwayRichardson, TX 75082 · Collin County
Emergency services Birthing friendly

Dallas Regional Medical Center

Acute Care Hospitals · Mesquite, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450688
Location1011 North Galloway AvenueMesquite, TX 75149 · Dallas County
Emergency services Birthing friendly

Baylor Scott And White Medical Center Lake Pointe

Acute Care Hospitals · Rowlett, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450742
Location6800 Scenic DrRowlett, TX 75088 · Dallas County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Rockwall

Acute Care Hospitals · Rockwall, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670044
Location3150 Horizon RoadRockwall, TX 75032 · Rockwall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

89.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.56
Improvement Activities40
Cost45.13

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.

KIRBY KILE CRNA
Anesthesiology
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 593-8441
DAVID A BRICKEY DO
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 525-1914
DR. ESMAEL FANTAW YIMER MD
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 606-7264
SALEEM ZAIDI M.D.
Anesthesiology (Critical Care Medicine)
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 606-5864
DR. JAMES MICHAEL WILSON MD, MPH
Emergency Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 525-1914
DR. SAILAJA SAKAM M.D.
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 606-4129
JAMES BLAKE KNUTSON MD
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 510-1186
DR. JAMIL AKHTAR ABBASI M.D.
Internal Medicine (Critical Care Medicine)
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 525-1914

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 Nikhil Acharya's NPI number?

The NPI number for Nikhil Acharya is 1780947135. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Nikhil Acharya located?

Nikhil Acharya practices at 800 E Dawson St, Tyler, TX 75701. The listed phone number is (903) 593-8441.

What is Nikhil Acharya's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nikhil Acharya enrolled in Medicare?

Yes. Nikhil Acharya is registered in the Medicare PECOS enrollment system.

What insurance does Nikhil Acharya accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Nikhil Acharya 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 Nikhil Acharya affiliated with any hospitals?

According to CMS data, Nikhil Acharya is affiliated with Baylor University Medical Center, Methodist Richardson Medical Center, Dallas Regional Medical Center, Baylor Scott And White Medical Center Lake Pointe and Texas Health Presbyterian Hospital Rockwall.

When was this NPI record last updated?

The NPPES record for Nikhil Acharya was last updated on June 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.