NISHA SHAH KHERADIYA M.D.
NPI 1891937819
Ophthalmology in Anderson, IN

Active since April 06, 2009PECOS EnrolledAccepts Medicare Assignment
1931 BROWN ST, ANDERSON, IN 46016(765) 644-1225 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nisha Shah Kheradiya M.d. NPPES

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

NISHA SHAH KHERADIYA M.D. (NPI 1891937819) is an individual ophthalmology provider in Anderson, Indiana, licensed in Indiana (01071573A) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Anderson, and maintains a secondary practice location in Avon.

NPPES Registry Identity

NPI1891937819
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameNISHA SHAH KHERADIYACredential: M.D.
Location Address1931 BROWN STAnderson, IN 46016-4206
Mailing Address1931 Brown StAnderson, IN 46016-4206
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 2002
Enumeration DateApril 6, 2009
Last NPPES UpdateJuly 11, 2022
NPPES CertifiedJuly 11, 2022
NPI 1891937819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IN · 01071573A
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1931 BROWN ST, Anderson, IN 46016

Secondary Practice Location 1

Location 18244 E US Highway 36, #200Avon, IN 46123-9621 · Phone (317) 272-2020 · Fax (317) 272-6544

Other Identifiers 1

Other01071573AIN · Medical License

Accepted 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

Nisha Shah Kheradiya 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 ID4688899370
PECOS Enrollment IDI20140714002122
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 13

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
241 services91 patients
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.
187 services130 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
172 services140 patients
Compounded drug, not otherwise classified J7999
A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.
138 services27 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
137 services26 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
54 services53 patients

Hospital Affiliations CMS Care Compare

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

Ascension St Vincent Anderson

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150088
Location2015 Jackson StAnderson, IN 46016 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46016 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 7

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

Nurse Practitioner (Adult Health)
1931 BROWN ST
ANDERSON, IN 46016
Ophthalmology
1931 BROWN ST
ANDERSON, IN 46016
Clinic/Center (Ambulatory Surgical)
1931 BROWN ST
ANDERSON, IN 46016
Durable Medical Equipment & Medical Supplies
1931 BROWN ST
ANDERSON, IN 46016
Durable Medical Equipment & Medical Supplies
1931 BROWN ST, SUITE A
ANDERSON, IN 46016
Ophthalmology
1931 BROWN ST
ANDERSON, IN 46016
Optometrist
1931 BROWN ST
ANDERSON, IN 46016

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 Kheradiya's NPI number?

The NPI number for Nisha Kheradiya is 1891937819. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Where is Nisha Kheradiya located?

Nisha Kheradiya practices at 1931 Brown St, Anderson, IN 46016. The listed phone number is (765) 644-1225.

What is Nisha Kheradiya's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Nisha Kheradiya enrolled in Medicare?

Yes. Nisha Kheradiya 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 Kheradiya accept?

Health plans from CareSource list Nisha Kheradiya 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 Kheradiya affiliated with any hospitals?

According to CMS data, Nisha Kheradiya is affiliated with Ascension St Vincent Anderson.

When was this NPI record last updated?

The NPPES record for Nisha Kheradiya was last updated on July 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.