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DR. NISHANT PILLAI D.O.
NPI 1922247790
Emergency Medicine in Milwaukee, WI

Active since February 18, 2009PECOS EnrolledAccepts Medicare Assignment
91.74/100
CMS Quality Rating
3201 S 16TH ST, SUITE 100, MILWAUKEE, WI 53215(414) 647-5302 Get Directions Write a Review

NPPES record last updated: April 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nishant Pillai D.o. NPPES

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

DR. NISHANT PILLAI D.O. (NPI 1922247790) is an individual emergency medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (55753-21) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1922247790
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. NISHANT PILLAICredential: D.O.
Location Address3201 S 16TH ST, SUITE 100Milwaukee, WI 53215-4537
Mailing Address10625 W North Ave, 102Milwaukee, WI 53226-2315 · (402) 210-6701
Phone(414) 647-5302
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 18, 2009
Last NPPES UpdateApril 7, 2017
✔ NPI 1922247790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 55753-21
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3201 S 16TH ST, Milwaukee, WI 53215
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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. Nishant Pillai D.o. 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 ID143351585
PECOS Enrollment IDI20110614000188
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
115 services108 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
82 services81 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
54 services54 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
49 services49 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Ascension Wisconsin Hosp Menomonee Falls Campus

Acute Care Hospitals · Menomonee Falls, WI
OwnershipProprietary
CMS Certification Number520214
LocationN88w14275 Main Street, Suite 100Menomonee Falls, WI 53051 · Waukesha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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.

91.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.9
Improvement Activities40
Cost70.34

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.

NEUROLOGY CENTER OF MILWAUKEE, LLC
Psychiatry & Neurology (Neurology)
3201 S 16TH ST, SUITE 1019
MILWAUKEE, WI 53215
Milwaukee County (414) 342-6300
JITENDRA K BARUAH MD SC
Psychiatry & Neurology (Neurology)
3201 S 16TH ST, SUITE 200
MILWAUKEE, WI 53215
Milwaukee County (414) 384-5581
RAKESH WAGHRAY MD
Internal Medicine (Pulmonary Disease)
3201 S 16TH ST, 2015
MILWAUKEE, WI 53215
Milwaukee County (414) 649-3810
MRS. ALLISON MARGARET JUECH PA
Physician Assistant
3201 S 16TH ST, SUITE 100
MILWAUKEE, WI 53215
Milwaukee County (414) 647-5203
ST. FRANCIS GRAPHICS
Internal Medicine (Cardiovascular Disease)
3201 S 16TH ST
MILWAUKEE, WI 53215
Milwaukee County (414) 438-2450
DR. RAJENDRA S RATHOUR MD
Internal Medicine
3201 S 16TH ST, ROOM 1000
MILWAUKEE, WI 53215
Milwaukee County (414) 389-3180
W. I. FRANKOWSKI, MD, SC
Family Medicine
3201 S 16TH ST, SUITE 1010
MILWAUKEE, WI 53215
Milwaukee County (414) 643-0711
PHYSIATRISTS ASSOCIATES, LTD
Physical Medicine & Rehabilitation
3201 S 16TH ST, 800
MILWAUKEE, WI 53215
Milwaukee County (414) 647-9985

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 Nishant Pillai's NPI number?

The NPI number for Nishant Pillai is 1922247790. It was assigned to this individual provider in the NPPES registry on February 18, 2009.

Where is Nishant Pillai located?

Nishant Pillai practices at 3201 S 16th St Suite 100, Milwaukee, WI 53215. The listed phone number is (414) 647-5302.

What is Nishant Pillai's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nishant Pillai enrolled in Medicare?

Yes. Nishant Pillai 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 Nishant Pillai accept?

Health plans from CareSource (Common Ground Healthcare) list Nishant Pillai 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 Nishant Pillai affiliated with any hospitals?

According to CMS data, Nishant Pillai is affiliated with Ascension NE Wisconsin - St Elizabeth Campus, Ascension Columbia St Mary's Hospital Milwaukee, Ascension All Saints Hospital, Ascension SE Wisconsin Hospital and Ascension Wisconsin Hosp Menomonee Falls Campus.

When was this NPI record last updated?

The NPPES record for Nishant Pillai was last updated on April 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.