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NILESH BAXI MD
NPI 1851322457
Psychiatry & Neurology - Psychiatry in Mountaintop, PA

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
359 S MOUNTAIN BLVD, SUITE C-2, MOUNTAINTOP, PA 18707(570) 455-6385(570) 579-0355 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nilesh Baxi Md NPPES

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

NILESH BAXI MD (NPI 1851322457) is an individual psychiatry provider in Mountaintop, Pennsylvania, licensed in Pennsylvania (MD052115L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1851322457
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameNILESH BAXICredential: MD
Location Address359 S MOUNTAIN BLVD, SUITE C-2Mountaintop, PA 18707
Mailing AddressPo Box 248Mountaintop, PA 18707 · (570) 455-6385 · Fax (570) 579-0355
Phone(570) 455-6385
Fax(570) 579-0355
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1851322457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD052115L
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
359 S MOUNTAIN BLVD, Mountaintop, PA 18707
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Other Identifiers 3

Medicare UPINF62594
Medicare ID-Type Unspecified08115
Medicaid0014653330005PA

Accepted Insurance

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

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

Nilesh Baxi 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 ID5698717197
PECOS Enrollment IDI20050525000351
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 5

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.
696 services192 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
445 services76 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
117 services36 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
42 services17 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
18 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18707 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
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.

Other Providers at the Same Location NPPES 10

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

SANDRA L BALDINO LCSW
Social Worker (Clinical)
359 S MOUNTAIN BLVD, STE C2
MOUNTAIN TOP, PA 18707
Luzerne County (570) 288-5642
DR. NANCY JEAN COPELAND PHD
Psychologist (Clinical)
359 S MOUNTAIN BLVD, STE C-2
MOUNTAINTOP, PA 18707
Luzerne County (570) 403-5080
MS. MICHELLE LEE ZAPOTOSKI LPC, NCC
Counselor (Professional)
359 S MOUNTAIN BLVD
MOUNTAIN TOP, PA 18707
Luzerne County (570) 403-5080
MRS. MARGARET ANNE SOLOMON LSW
Social Worker
359 S MOUNTAIN BLVD, SUITE C2
MOUNTAIN TOP, PA 18707
Luzerne County (570) 403-5080
HEATHER REYMUNDE WITTMER, REGISTERED DIETITIAN NUTRITIONIST, LLC
Dietitian, Registered
359 S MOUNTAIN BLVD
MOUNTAIN TOP, PA 18707
Luzerne County (570) 709-5909
MRS. NIRMALA D NIRMUL LCSW
Social Worker (Clinical)
359 S MOUNTAIN BLVD, SUITE C2
MOUNTAIN TOP, PA 18707
Luzerne County (570) 403-5080
MRS. BRITNEY A GREGORY MS, LAPC, NCC
Counselor (Mental Health)
359 S MOUNTAIN BLVD
MOUNTAIN TOP, PA 18707
Luzerne County (570) 359-7303
LORI LOSEN LPC
Counselor (Professional)
359 S MOUNTAIN BLVD
MOUNTAIN TOP, PA 18707
Luzerne County (570) 359-7303

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 Nilesh Baxi's NPI number?

The NPI number for Nilesh Baxi is 1851322457. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Nilesh Baxi located?

Nilesh Baxi practices at 359 S Mountain Blvd Suite C-2, Mountaintop, PA 18707. The listed phone number is (570) 455-6385.

What is Nilesh Baxi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nilesh Baxi enrolled in Medicare?

Yes. Nilesh Baxi 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.

What insurance does Nilesh Baxi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nilesh Baxi 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.

When was this NPI record last updated?

The NPPES record for Nilesh Baxi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.