NISHA JADHAW M.D.
NPI 1912358540
Student in an Organized Health Care Education/Training Program in San Jose, CA

Q: What is Nisha Jadhaw's NPI number?

The NPI number for Nisha Jadhaw is 1912358540. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Q: What is Nisha Jadhaw's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nisha Jadhaw was last updated on December 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 24, 2016PECOS EnrolledAccepts Medicare Assignment

2105 FOREST AVE, SAN JOSE, CA 95128(408) 283-7666 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 17, 2021, Jun 24, 2016 (2 updates tracked since 2016).

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About Nisha Jadhaw M.d. NPPES

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

NISHA JADHAW M.D. (NPI 1912358540) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1912358540

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNISHA JADHAWCredential: M.D.

Location Address2105 FOREST AVESan Jose, CA 95128-1425

Mailing Address2105 Forest AveSan Jose, CA 95128-1425

Phone(408) 283-7666

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 24, 2016

Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration

✔ NPI 1912358540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2105 FOREST AVE, San Jose, CA 95128

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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 Jadhaw 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 ID1456767367

PECOS Enrollment IDI20210301001314

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.

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.

LARRY MATSUMOTO M.D.

Pathology (Anatomic Pathology & Clinical Pathology)