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NISHI DEDANIA MD
NPI 1952728966
Internal Medicine in Bethlehem, PA

Active since March 27, 2014PECOS EnrolledAccepts Medicare Assignment
325 W BROAD ST FL 1, BETHLEHEM, PA 18018(484) 626-9200 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2021, Mar 24, 2021, Feb 25, 2020 and 3 more (6 updates tracked since 2018).

About Nishi Dedania Md NPPES

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

NISHI DEDANIA MD (NPI 1952728966) is an individual internal medicine provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (MD482478) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1952728966
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNISHI DEDANIACredential: MD
Location Address325 W BROAD ST FL 1Bethlehem, PA 18018-5526
Mailing Address1150 Nw 14th St Fl 4Miami, FL 33136-2137
Phone(484) 626-9200
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 27, 2014
Last NPPES UpdateSeptember 28, 20236 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2023
✔ NPI 1952728966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · MD482478✔ Licensed in RI · MD16251✔ Licensed in FL · ME148211
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 281622 (MA), ME148211 (FL), MD482478 (PA)
325 W BROAD ST FL 1, Bethlehem, PA 18018
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Secondary Practice Locations 4

Location 1245 Chapman St Ste 100Providence, RI 02905-4539 · Phone (401) 444-6118 · Fax (401) 444-8804
Location 2300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000
Location 3593 Eddy StProvidence, RI 02903 · Phone (401) 444-6195 · Fax (401) 444-6378
Location 41150 NW 14th St Fl 4Miami, FL 33136-2137 · Phone (305) 343-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Nishi Dedania Md 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 ID4385954015
PECOS Enrollment IDI20231017002862
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 3

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.

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.
35 services33 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.
26 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18018 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Nishi Dedania's NPI number?

The NPI number for Nishi Dedania is 1952728966. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is Nishi Dedania located?

Nishi Dedania practices at 325 W Broad St Fl 1, Bethlehem, PA 18018. The listed phone number is (484) 626-9200.

What is Nishi Dedania's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nishi Dedania enrolled in Medicare?

Yes. Nishi Dedania 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 Nishi Dedania accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nishi Dedania 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 Nishi Dedania affiliated with any hospitals?

According to CMS data, Nishi Dedania is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Nishi Dedania was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.