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

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: November 01, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Nisha Jadhaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
3.3 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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.

ANNA NGUYEN DO
Emergency Medicine
2105 FOREST AVE
SAN JOSE, CA 95128
Santa Clara County (408) 947-2500
RYAN KAR
Perfusionist
2105 FOREST AVE
SAN JOSE, CA 95128
Santa Clara County (408) 947-2500
BRITTANY NGUYEN PHARMD
Pharmacist
2105 FOREST AVE
SAN JOSE, CA 95128
Santa Clara County (408) 947-2685
EMERGENCY PHYSICIANS ASSOCIATES OVERHEAD OPERATING ACCOUNT DENNIS BELO
Emergency Medicine
2105 FOREST AVE
SAN JOSE, CA 95128
Santa Clara County (408) 947-2500
DR. ALLEN CHRISTIAN PARTONO
Student in an Organized Health Care Education/Training Program
2105 FOREST AVE
SAN JOSE, CA 95128
Santa Clara County (408) 947-2500
NERISSA KWOK
Pharmacist
2105 FOREST AVE
SAN JOSE, CA 95128
Santa Clara County (408) 947-2500
THOMAS GILDEA MD
Emergency Medicine
2105 FOREST AVE
SAN JOSE, CA 95128
Santa Clara County (408) 947-2500
GERALDINE OCMEJA
Physical Therapist
2105 FOREST AVE
SAN JOSE, CA 95128
Santa Clara County (408) 947-2500

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 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.

Where is Nisha Jadhaw located?

Nisha Jadhaw practices at 2105 Forest Ave, San Jose, CA 95128. The listed phone number is (408) 283-7666.

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.

Is Nisha Jadhaw enrolled in Medicare?

Yes. Nisha Jadhaw 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 organization bills Medicare for Nisha Jadhaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Jadhaw reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The 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 Nisha Jadhaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nisha Jadhaw was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.