NIRMALA PICHIKA M.D.
NPI 1811056088
Hospitalist in Plainsboro, NJ

Q: What is Nirmala Pichika's NPI number?

The NPI number for Nirmala Pichika is 1811056088. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Q: What is Nirmala Pichika's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Nirmala Pichika was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 06, 2006PECOS EnrolledAccepts Medicare Assignment

79.93/100

CMS Quality Rating

1 PLAINSBORO RD, PLAINSBORO, NJ 08536(609) 853-6049(609) 853-7221 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2023, Oct 20, 2020, Sep 2, 2020 (3 updates tracked since 2020).

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About Nirmala Pichika M.d. NPPES

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

NIRMALA PICHIKA M.D. (NPI 1811056088) is an individual hospitalist provider in Plainsboro, New Jersey, licensed in New Jersey (25MA07999500) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1811056088

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameNIRMALA PICHIKACredential: M.D.

Location Address1 PLAINSBORO RDPlainsboro, NJ 08536-1913

Mailing Address1 Plainsboro RdPlainsboro, NJ 08536-1913 · (609) 853-6049 · Fax (609) 853-7221

Phone(609) 853-6049

Fax(609) 853-7221

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateDecember 6, 2006

Last NPPES UpdateJanuary 3, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2023

✔ NPI 1811056088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in NJ · 25MA07999500

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA07999500 (NJ)

1 PLAINSBORO RD, Plainsboro, NJ 08536

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Secondary Practice Locations 6

Location 11600 Haddon Ave Fl 6Camden, NJ 08103-3101 · Phone (856) 757-3500 · Fax (856) 365-4088

Location 2175 Madison AveMount Holly, NJ 08060-2099 · Phone (609) 914-6000 · Fax (609) 914-6182

Location 390 Brick Rd Fl 3Marlton, NJ 08053-2177 · Phone (856) 355-6000 · Fax (856) 355-6731

Location 4100 Bowman Dr Lowr Level1Voorhees, NJ 08043-9612 · Phone (856) 247-3000 · Fax (856) 247-2597

Location 5301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · Phone (856) 355-0340

Location 6218A Sunset Rd, Lourdes Medical Center Burlington CountyWillingboro, NJ 08046-1110 · Phone (609) 835-3056 · Fax (856) 835-3061

Other Identifiers 2

OtherP00724784NJ · Railroad Medicare

Medicaid0122432NJ

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

Nirmala Pichika 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 ID6204932874

PECOS Enrollment IDI20070430000012

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 Nirmala Pichika reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Princeton Healthcare Affiliated Physicians PC

Same address

Internal Medicine

5 PLAINSBORO ROAD, SUITE 300
Plainsboro, NJ 08536

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

NPI 1518194323 (609) 853-7272

Clinical Health Care Associates Of New Jersey, PC

11 mi

Otolaryngology

719 US HIGHWAY 206 STE 101
Hillsborough, NJ 08844

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

NPI 1962977249 (908) 271-2102

Virtua Medical Group, PA

25 mi

Urgent Care

555 HIGH ST STE 16A
Mount Holly, NJ 08060

Reassigned Medicare billing, New Jersey enrollment
2,074 clinicians in this Medicare group

NPI 1851841696 (609) 444-5610

Samaritan Healthcare & Hospice, Inc.

34 mi

Hospice and Palliative Medicine

3906 CHURCH RD
Mount Laurel, NJ 08054

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

NPI 1023323367 (856) 596-1600

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 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 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.

443 services190 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.

143 services140 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.

99 services51 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.

50 services50 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.

30 services30 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310010

LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08536 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

79.93/100

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

Scored as part of a group practice

Quality

63.51

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier22 claims22 services$84.37 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier14 claims14 services$33.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. DUNCAN STEWART ECKHARDT CRNA

Nurse Anesthetist, Certified Registered