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DR. NIKITA NEHA MACHADO M.D
NPI 1902248016
Surgery in Gainesville, GA

Active since July 18, 2013PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
1439 JESSE JEWELL PKWY NE STE 302, GAINESVILLE, GA 30501(770) 219-9200 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2023, Jul 6, 2022, Jan 12, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Nikita Neha Machado M.d NPPES

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

DR. NIKITA NEHA MACHADO M.D (NPI 1902248016) is an individual surgery provider in Gainesville, Georgia, licensed in Georgia (96290) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902248016
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. NIKITA NEHA MACHADOCredential: M.D
Location Address1439 JESSE JEWELL PKWY NE STE 302Gainesville, GA 30501-3806
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Phone(770) 219-9200
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 18, 2013
Last NPPES UpdateAugust 9, 20234 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1902248016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in GA · 96290✔ Licensed in OH · 35.133531
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1439 JESSE JEWELL PKWY NE STE 302, Gainesville, GA 30501
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1158 W Main Rd Ste 203Conneaut, OH 44030-2039 · Phone (440) 593-0330 · Fax (216) 201-5703
Location 220 York StNew Haven, CT 06510-3220 · Phone (203) 688-4242

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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. Nikita Neha Machado 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 ID9133479967
PECOS Enrollment IDI20230817003928
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 4

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
60 services60 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.
38 services35 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
21 services19 patients
Removal or exploration of parathyroid glands 60500
The procedure for removal or exploration of parathyroid glands involves a surgeon making a small incision in the neck to locate and remove one or more of the tiny parathyroid glands. These glands control calcium levels in the body. This procedure helps treat conditions like hyperparathyroidism.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Northeast Georgia Medical Center Lumpkin

Acute Care Hospitals · Dahlonega, GA
OwnershipVoluntary non-profit - Other
CMS Certification Number110237
Location495 Highway 400 NorthDahlonega, GA 30533 · Lumpkin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES 13

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

ANGEL NICHOLS PA
Physician Assistant
1439 JESSE JEWELL PKWY NE STE 302
GAINESVILLE, GA 30501
Hall County (770) 219-9200
JORDAN PRUITT PA
Physician Assistant
1439 JESSE JEWELL PKWY NE STE 302
GAINESVILLE, GA 30501
Hall County (770) 219-9200
EIHAB NAIL ABDELFATAH M.D.
Surgery (Surgical Oncology)
1439 JESSE JEWELL PKWY NE STE 302
GAINESVILLE, GA 30501
Hall County (770) 219-9200
ELIZABETH PERRY MORGAN PA-C
Physician Assistant (Surgical)
1439 JESSE JEWELL PKWY NE STE 302
GAINESVILLE, GA 30501
Hall County (770) 219-9200
MRS. CORI BETH HERRON PA
Physician Assistant (Surgical)
1439 JESSE JEWELL PKWY NE STE 302
GAINESVILLE, GA 30501
Hall County (770) 219-9200
CHARLOTTE HILL
Dietitian, Registered
1439 JESSE JEWELL PKWY NE STE 302
GAINESVILLE, GA 30501
Hall County (770) 219-9200
DR. NELSON ANDREW ROYALL M.D.
Surgery
1439 JESSE JEWELL PKWY NE STE 302
GAINESVILLE, GA 30501
Hall County (770) 219-9200
MOLLY MARIE MCNAMEE MD, MPH
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 302
GAINESVILLE, GA 30501
Hall County (770) 219-9234

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 Nikita Machado's NPI number?

The NPI number for Nikita Machado is 1902248016. It was assigned to this individual provider in the NPPES registry on July 18, 2013.

Where is Nikita Machado located?

Nikita Machado practices at 1439 Jesse Jewell Pkwy NE Ste 302, Gainesville, GA 30501. The listed phone number is (770) 219-9200.

What is Nikita Machado's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nikita Machado enrolled in Medicare?

Yes. Nikita Machado 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 Nikita Machado accept?

Health plans from Alliant Health Plans, Inc. list Nikita Machado 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 Nikita Machado affiliated with any hospitals?

According to CMS data, Nikita Machado is affiliated with Northeast Georgia Medical Center, Inc, Northeast Georgia Medical Center Habersham and Northeast Georgia Medical Center Lumpkin.

When was this NPI record last updated?

The NPPES record for Nikita Machado was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.