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NEHA NAGPAL
NPI 1972090082
Hospitalist in New York, NY

Active since April 16, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
525 EAST 68TH STREET, NEW YORK, NY 10065(212) 746-4071 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2022, Jul 2, 2021, Apr 24, 2018 and 1 more (4 updates tracked since 2018).

About Neha Nagpal NPPES

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

NEHA NAGPAL (NPI 1972090082) is an individual hospitalist provider in New York, New York, licensed in New York (300767) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1972090082
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameNEHA NAGPAL
Location Address525 EAST 68TH STREETNew York, NY 10065
Mailing Address520 East 70th Street, St-05-507New York, NY 10021 · (570) 916-8814
Phone(212) 746-4071
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 16, 2018
Last NPPES UpdateOctober 24, 20224 updates tracked since enumeration
NPPES CertifiedOctober 24, 2022
✔ NPI 1972090082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NY · 300767
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 300767 (NY)
525 EAST 68TH STREET, New York, NY 10065
Open in Google Maps ↗

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

Neha Nagpal 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 ID2860731296
PECOS Enrollment IDI20221031001191
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
456 services170 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
110 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
110 services56 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
85 services84 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
52 services51 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JANELLE SYMONE LAMBERT MD
Emergency Medicine
525 EAST 68TH STREET, EMERGENCY DEPARTMENT
NEW YORK, NY 10065
New York County (212) 746-5026
MICHELLE MOCK RD
Dietitian, Registered
525 EAST 68TH STREET
NEW YORK, NY 10065
New York County (212) 746-3520
KRISTEN NICOLE LEEMAN M.D.
Radiology (Neuroradiology)
525 EAST 68TH STREET, STARR 8A
NEW YORK, NY 10065
New York County (212) 746-2524
DR. HANNA MAARIT MOISANDER-JOYCE M. D.
Pediatrics (Pediatric Hematology-Oncology)
525 EAST 68TH STREET, NEW YORK- PRESBYTERIAN HOSPITAL - BOX 139
NEW YORK, NY 10065
New York County (212) 746-5454
DR. ALAN MARTIN GROVES MBCHB
Pediatrics (Neonatal-Perinatal Medicine)
525 EAST 68TH STREET, N506
NEW YORK, NY 10065
New York County (212) 746-3530
DR. HILARY HOCHBERG SHOHET M.D.
Radiology (Diagnostic Radiology)
525 EAST 68TH STREET, BOX 141 - RADIOLOGY DEPARTMENT
NEW YORK, NY 10065
New York County (212) 746-6000
DR. JONAS JOHN HEYMANN M.D.
Pathology (Cytopathology)
525 EAST 68TH STREET, F-766B
NEW YORK, NY 10065
New York County (212) 746-2963
DR. KELLY JANE CUMMINGS M.D.
Internal Medicine
525 EAST 68TH STREET, PAYSON 2
NEW YORK, NY 10065
New York County (212) 746-7000

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 Neha Nagpal's NPI number?

The NPI number for Neha Nagpal is 1972090082. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Neha Nagpal located?

Neha Nagpal practices at 525 East 68th Street, New York, NY 10065. The listed phone number is (212) 746-4071.

What is Neha Nagpal's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Neha Nagpal enrolled in Medicare?

Yes. Neha Nagpal 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.

Is Neha Nagpal affiliated with any hospitals?

According to CMS data, Neha Nagpal is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Neha Nagpal was last updated on October 24, 2022. 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.