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NIKHIL BORKHETARIA M.D.
NPI 1831585819
Internal Medicine in Westlake, OH

Active since April 07, 2015PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
29000 CENTER RIDGE RD, WESTLAKE, OH 44145(440) 835-6996 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nikhil Borkhetaria M.d. NPPES

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

NIKHIL BORKHETARIA M.D. (NPI 1831585819) is an individual internal medicine provider in Westlake, Ohio, licensed in Ohio (35-134139) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with University Hospitals Samaritan Medical Center, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1831585819
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNIKHIL BORKHETARIACredential: M.D.
Location Address29000 CENTER RIDGE RDWestlake, OH 44145-5219
Mailing Address1251 S 4th St Unit 210Louisville, KY 40203-3094
Phone(440) 835-6996
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 7, 2015
Last NPPES UpdateJune 18, 2018
✔ NPI 1831585819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35-134139
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
29000 CENTER RIDGE RD, Westlake, OH 44145
Open in Google Maps ↗

Secondary Practice Location 1

Location 11251 S 4th St Unit 210Louisville, KY 40203-3094 · Phone (317) 696-7114

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Nikhil Borkhetaria 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 ID6406156942
PECOS Enrollment IDI20180703000705
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

2

Medicare enrollment records show Nikhil Borkhetaria reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Primary Care Practices Inc
Same address
Endocrinology, Diabetes & Metabolism
29101 HEALTH CAMPUS DR BLDG 2 # 295
Westlake, OH 44145
  • Reassigned Medicare billing, Ohio enrollment
  • 1,437 clinicians in this Medicare group
NPI 1376754887 (440) 808-5950
University Hospitals Medical Group Inc
18 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

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 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.
245 services125 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.
114 services110 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.
105 services104 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.
70 services69 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.
46 services39 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.
25 services25 patients

Hospital Affiliations CMS Care Compare 3

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

University Hospitals Samaritan Medical Center

Acute Care Hospitals · Ashland, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360002
Location1025 Center StAshland, OH 44805 · Ashland County

Uh St John Medical Center

Acute Care Hospitals · Westlake, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360123
Location29000 Center Ridge RoadWestlake, OH 44145 · Cuyahoga County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44145 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$13.67 avg. paid by Medicare
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 supplier25 claims25 services$60.44 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$28.20 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.

BASEL S DIAB DO
Internal Medicine
29000 CENTER RIDGE RD
WESTLAKE, OH 44145
Cuyahoga County (440) 827-2921
DR. DEREK CECIL MOORE D.O.
Emergency Medicine
29000 CENTER RIDGE RD, SUITE 150
WESTLAKE, OH 44145
Cuyahoga County (440) 827-5566
GERALYN R COSTELLO CNP
Nurse Practitioner (Acute Care)
29000 CENTER RIDGE RD
WESTLAKE, OH 44145
Cuyahoga County (440) 835-8000
RAVNEET KAUR DO
Student in an Organized Health Care Education/Training Program
29000 CENTER RIDGE RD
WESTLAKE, OH 44145
Cuyahoga County (440) 827-5566
KAREN M FILIPIC RDLD
Dietitian, Registered
29000 CENTER RIDGE RD
WESTLAKE, OH 44145
Cuyahoga County (440) 827-5588
KRISTEN ALLEY
Internal Medicine
29000 CENTER RIDGE RD
WESTLAKE, OH 44145
Cuyahoga County (440) 835-8000
HENRY BLUNK
Internal Medicine
29000 CENTER RIDGE RD
WESTLAKE, OH 44145
Cuyahoga County (440) 827-5784
DEEMA CHAKHACHIRO
Internal Medicine
29000 CENTER RIDGE RD
WESTLAKE, OH 44145
Cuyahoga County (440) 847-9956

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 Borkhetaria's NPI number?

The NPI number for Nikhil Borkhetaria is 1831585819. It was assigned to this individual provider in the NPPES registry on April 7, 2015.

Where is Nikhil Borkhetaria located?

Nikhil Borkhetaria practices at 29000 Center Ridge Rd, Westlake, OH 44145. The listed phone number is (440) 835-6996.

What is Nikhil Borkhetaria's specialty?

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

Is Nikhil Borkhetaria enrolled in Medicare?

Yes. Nikhil Borkhetaria 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 Nikhil Borkhetaria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikhil Borkhetaria reassigns Medicare benefits to 2 organizations: University Primary Care Practices Inc (Westlake, OH) and University Hospitals Medical Group Inc (Cleveland, OH). 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 Nikhil Borkhetaria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikhil Borkhetaria accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Nikhil Borkhetaria 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 Borkhetaria affiliated with any hospitals?

According to CMS data, Nikhil Borkhetaria is affiliated with University Hospitals Samaritan Medical Center, Uh St John Medical Center and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Nikhil Borkhetaria was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.