NISHA MANOJ GHAYALOD MD
NPI 1790361392
Family Medicine - Addiction Medicine in Southold, NY
About Nisha Manoj Ghayalod Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NISHA MANOJ GHAYALOD MD (NPI 1790361392) is an individual addiction medicine provider in Southold, New York, licensed in Massachusetts (1017323) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and maintains a secondary practice location in Riverhead.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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 Manoj Ghayalod 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nisha Ghayalod reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stony Brook, NY 11794
- Reassigned Medicare billing, New York enrollment
- 55 clinicians in this Medicare group
Cambridge, MA 02139
- Reassigned Medicare billing, Massachusetts enrollment
- 719 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Suny/Stony Brook University Hospital
Acute Care Hospitals · Stony Brook, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11971 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ghayalod's NPI number?
The NPI number for Nisha Ghayalod is 1790361392. It was assigned to this individual provider in the NPPES registry on March 23, 2021.
Where is Nisha Ghayalod located?
Nisha Ghayalod practices at 44360 County Road 48, Southold, NY 11971. The listed phone number is (631) 734-8742.
What is Nisha Ghayalod's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.
Is Nisha Ghayalod enrolled in Medicare?
Yes. Nisha Ghayalod 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 Nisha Ghayalod's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Ghayalod reassigns Medicare benefits to 2 organizations: Stony Brook Family And Preventive Medicine, University Faculty Practic (Stony Brook, NY) and Cambridge Public Health Commission (Cambridge, MA). 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 Nisha Ghayalod's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nisha Ghayalod accept?
Health plans from Taro Health list Nisha Ghayalod 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 Nisha Ghayalod affiliated with any hospitals?
According to CMS data, Nisha Ghayalod is affiliated with Suny/Stony Brook University Hospital.
When was this NPI record last updated?
The NPPES record for Nisha Ghayalod was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Nisha Manoj Ghayalod, MD · NPI 1790361392
Addiction Medicine physician in Southold, New York. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1790361392 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Family Medicine - Addiction Medicine · taxonomy 207QA0401X
- **State license:** 1017323 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 44360 COUNTY ROAD 48, Southold, NY 11971-5033
- **Phone:** (631) 734-8742
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Stony Brook Family And Preventive Medicine, University Faculty Practic (NPI 1982659470, Stony Brook, NY); Cambridge Public Health Commission (NPI 1487603585, Cambridge, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790361392) · Data from the CMS NPPES public registry.