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DR. NISHA SHANKAR
NPI 1851686257
Internal Medicine in Farmington, CT

Active since June 14, 2011PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
UNIVERSITY OF CONNECTICUT HEALTH CTR, FARMINGTON, CT 06030(860) 679-6296 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nisha Shankar NPPES

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

DR. NISHA SHANKAR (NPI 1851686257) is an individual internal medicine provider in Farmington, Connecticut, licensed in Minnesota (58678) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1851686257
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NISHA SHANKAR
Location AddressUNIVERSITY OF CONNECTICUT HEALTH CTRFarmington, CT 06030-0001
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Phone(860) 679-6296
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 14, 2011
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1851686257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 58678
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.
UNIVERSITY OF CONNECTICUT HEALTH CTR, Farmington, CT 06030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Dr. Nisha Shankar 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 ID4284955121
PECOS Enrollment IDI20150604000865
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
217 services171 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.
161 services63 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.
49 services24 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.
34 services33 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.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

New Ulm Medical Center

Critical Access Hospitals · New Ulm, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241378
Location1324 Fifth North StreetNew Ulm, MN 56073 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06030 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 7

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

MICHELLE KELLEY APRN
Nurse Practitioner (Adult Health)
UNIVERSITY OF CONNECTICUT HEALTH CTR, 263 FARMINGTON AVENUE, MC-1111
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-8156
VICTORIA ODESINA DNP, APRN
Nurse Practitioner (Psychiatric/Mental Health)
UNIVERSITY OF CONNECTICUT HEALTH CTR, 263 FARMINGTON AVENUE, MC 6206
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3893
JOHN DALE NASH MD
Obstetrics & Gynecology (Gynecologic Oncology)
UNIVERSITY OF CONNECTICUT HEALTH CTR, 263 FARMINGTON AVENUE - MC1614
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-6052
MRS. MARYELLIN FLYNN APRN, NP
Nurse Practitioner (Psychiatric/Mental Health)
UNIVERSITY OF CONNECTICUT HEALTH CTR, UCONN HOMECARE PROGRAM - OFFICE C1357
FARMINGTON, CT 06030
Capitol Planning Region (860) 480-6501
DANA R CRINO M.D.
Internal Medicine (Critical Care Medicine)
UNIVERSITY OF CONNECTICUT HEALTH CTR, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2715
YUNG KYUN KIM DDS
Dentist (Periodontics)
UNIVERSITY OF CONNECTICUT HEALTH CTR, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4070
MS. JAMIE KATE GOOCH APRN
Nurse Practitioner (Acute Care)
UNIVERSITY OF CONNECTICUT HEALTH CTR, 263 FARMINGTON AVE.
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2000

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 Nisha Shankar's NPI number?

The NPI number for Nisha Shankar is 1851686257. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Nisha Shankar located?

Nisha Shankar practices at University Of Connecticut Health Ctr, Farmington, CT 06030. The listed phone number is (860) 679-6296.

What is Nisha Shankar's specialty?

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

Is Nisha Shankar enrolled in Medicare?

Yes. Nisha Shankar 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 Nisha Shankar accept?

Health plans from Medica list Nisha Shankar 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 Nisha Shankar affiliated with any hospitals?

According to CMS data, Nisha Shankar is affiliated with Abbott Northwestern Hospital and New Ulm Medical Center.

When was this NPI record last updated?

The NPPES record for Nisha Shankar was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.