NICHOLAS GIDOSH
NPI 1881081461
Student in an Organized Health Care Education/Training Program in Big Rapids, MI
About Nicholas Gidosh NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS GIDOSH (NPI 1881081461) is an individual student in an organized health care education/training program in Big Rapids, Michigan and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2015).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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
Nicholas Gidosh 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nicholas Gidosh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bethlehem, PA 18017
- Reassigned Medicare billing, Pennsylvania enrollment
- 335 clinicians in this Medicare group
Elkins Park, PA 19027
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Salus University
- 63 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Nicholas Gidosh's NPI number?
The NPI number for Nicholas Gidosh is 1881081461. It was assigned to this individual provider in the NPPES registry on April 21, 2015.
Where is Nicholas Gidosh located?
Nicholas Gidosh practices at 1124 S State St, Big Rapids, MI 49307. The listed phone number is (231) 591-2020.
What is Nicholas Gidosh's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nicholas Gidosh enrolled in Medicare?
Yes. Nicholas Gidosh 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 Nicholas Gidosh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Gidosh reassigns Medicare benefits to 2 organizations: Drexel University (Bethlehem, PA) and Salus University Hearing Vision Balance Clinic (Elkins Park, PA). 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 Nicholas Gidosh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicholas Gidosh accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Nicholas Gidosh 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 Nicholas Gidosh was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Nicholas Gidosh · NPI 1881081461
Student in an Organized Health Care Education/Training Program provider in Big Rapids, Michigan. Individual provider, active in the CMS NPPES registry since April 21, 2015.
## Identity
- **NPI:** 1881081461 (Entity type: Individual)
- **Enumerated:** April 21, 2015
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1124 S STATE ST, Big Rapids, MI 49307-2256
- **Phone:** (231) 591-2020 · **Fax:** (231) 591-3991
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Drexel University (NPI 1659875284, Bethlehem, PA); Salus University Hearing Vision Balance Clinic (NPI 1154785293, Elkins Park, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania College Of Optometry, class of 2015
## Record status
- **NPPES last updated:** April 21, 2015
- **Other identifiers:** Other 900E47602 (MI); Medicaid 386005159 (MI); Medicare NSC 0784610001 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1881081461) · Data from the CMS NPPES public registry.