DR. NISHANT PRASAD MD
NPI 1811130404
Internal Medicine - Infectious Disease in Flushing, NY

Active since April 12, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5645 MAIN ST, N-011, FLUSHING, NY 11355(718) 670-1525(718) 661-7899 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nishant Prasad Md NPPES

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

DR. NISHANT PRASAD MD (NPI 1811130404) is an individual infectious disease provider in Flushing, New York, licensed in New York (276311) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of Ohio State University College Of Medicine (2009).

NPPES Registry Identity

NPI1811130404
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. NISHANT PRASADCredential: MD
Location Address5645 MAIN ST, N-011Flushing, NY 11355-5045
Mailing Address5645 Main St, N-011Flushing, NY 11355-5045 · (718) 670-1525 · Fax (718) 661-7899
Fax(718) 661-7899
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2009
Enumeration DateApril 12, 2009
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
NPI 1811130404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in NY · 276311
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

5645 MAIN ST, Flushing, NY 11355

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. Nishant Prasad 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.

PECOS PAC ID6406179936
PECOS Enrollment IDI20150108000535
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 4

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.

Follow-up hospital inpatient care per day, typically 15 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.
119 services77 patients
Initial hospital inpatient care per day, typically 50 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.
71 services69 patients
Initial hospital inpatient care per day, typically 30 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
23 services23 patients
Initial hospital inpatient care per day, typically 70 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330055
Location56-45 Main StreetFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics (Neonatal-Perinatal Medicine)
5645 MAIN ST, DEPARTMENT OF PEDIATRICS
FLUSHING, NY 11355
Internal Medicine (Pulmonary Disease)
5645 MAIN ST, WA-100
FLUSHING, NY 11355
Pediatrics (Pediatric Hematology-Oncology)
5645 MAIN ST
FLUSHING, NY 11355
Pathology (Anatomic Pathology & Clinical Pathology)
5645 MAIN ST
FLUSHING, NY 11355
Internal Medicine (Cardiovascular Disease)
5645 MAIN ST
FLUSHING, NY 11355
Radiology (Diagnostic Radiology)
5645 MAIN ST
FLUSHING, NY 11355
Radiology (Diagnostic Radiology)
5645 MAIN ST
FLUSHING, NY 11355
Radiology (Diagnostic Radiology)
5645 MAIN ST
FLUSHING, NY 11355

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 Nishant Prasad's NPI number?

The NPI number for Nishant Prasad is 1811130404. It was assigned to this individual provider in the NPPES registry on April 12, 2009.

Where is Nishant Prasad located?

Nishant Prasad practices at 5645 Main St N-011, Flushing, NY 11355. The listed phone number is (718) 670-1525.

What is Nishant Prasad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Nishant Prasad enrolled in Medicare?

Yes. Nishant Prasad 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.

Is Nishant Prasad affiliated with any hospitals?

According to CMS data, Nishant Prasad is affiliated with New York-Presbyterian/Queens.

When was this NPI record last updated?

The NPPES record for Nishant Prasad was last updated on January 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.