DR. NAZNEEN R. BILLIMORIA M.D.
NPI 1801000435
Surgery in Indiana, PA

Q: What is Nazneen Billimoria's NPI number?

The NPI number for Nazneen Billimoria is 1801000435. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Q: What is Nazneen Billimoria's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment

93.78/100

CMS Quality Rating

841 HOSPITAL RD STE 2300, INDIANA, PA 15701(724) 349-7820(724) 349-8816 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 1, 2021, Dec 4, 2020 (2 updates tracked since 2020).

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About Dr. Nazneen R. Billimoria M.d. NPPES

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

DR. NAZNEEN R. BILLIMORIA M.D. (NPI 1801000435) is an individual surgery provider in Indiana, Pennsylvania, licensed in Pennsylvania (MD454828) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Indiana Regional Medical Center, and is a graduate of Medical College Of Wisconsin (2005).

NPPES Registry Identity

NPI1801000435

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. NAZNEEN R. BILLIMORIACredential: M.D.

Location Address841 HOSPITAL RD STE 2300Indiana, PA 15701-3699

Mailing Address640 Kolter DrIndiana, PA 15701-3570 · (724) 357-7196 · Fax (724) 349-7279

Phone(724) 349-7820

Fax(724) 349-8816

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2005

Enumeration DateMay 10, 2007

Last NPPES UpdateFebruary 1, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2021

✔ NPI 1801000435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in PA · MD454828

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

841 HOSPITAL RD STE 2300, Indiana, PA 15701

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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

Dr. Nazneen R. Billimoria 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 ID4183939929

PECOS Enrollment IDI20150821014707

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 3

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.

35 services31 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.

31 services24 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.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390173

Location835 Hospital RoadIndiana, PA 15701 · Indiana County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15701 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

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

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.

93.78/100

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

Scored through an Alternative Payment Model

Quality

85.07

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 5

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

DR. MURALIDHAR REDDY GUDDETI M.D

Surgery