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DR. NIMALAN VIPULANANDA M.D.
NPI 1992065528
Hospitalist in Orchard Park, NY

Active since May 16, 2012PECOS EnrolledAccepts Medicare Assignment
45 GOLDEN CRESCENT WAY, ORCHARD PARK, NY 14127(816) 914-1197 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2020, Jul 22, 2019, Mar 30, 2016 (3 updates tracked since 2016).

About Dr. Nimalan Vipulananda M.d. NPPES

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

DR. NIMALAN VIPULANANDA M.D. (NPI 1992065528) is an individual hospitalist provider in Orchard Park, New York, licensed in New Hampshire (17450) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Wentworth-douglass Hospital, and maintains a secondary practice location in Dover.

NPPES Registry Identity

NPI1992065528
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. NIMALAN VIPULANANDACredential: M.D.
Location Address45 GOLDEN CRESCENT WAYOrchard Park, NY 14127-4913
Mailing Address333 Borthwick AvePortsmouth, NH 03801-7128 · (816) 914-1197
Phone(816) 914-1197
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 16, 2012
Last NPPES UpdateMarch 5, 20203 updates tracked since enumeration
NPPES CertifiedMarch 5, 2020
✔ NPI 1992065528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NH · 17450
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 17450 (NH)
45 GOLDEN CRESCENT WAY, Orchard Park, NY 14127
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Secondary Practice Location 1

Location 1789 Central Ave # Level2Dover, NH 03820-2526 · Phone (603) 740-2503 · Fax (603) 740-2497

Other Identifiers 1

Medicaid3107625NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, WellSense Health Plan.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. Nimalan Vipulananda 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 ID547552176
PECOS Enrollment IDI20160630000313
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.

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.
206 services199 patients
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.
75 services29 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
25 services25 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number300029
Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County
Emergency services Birthing friendly

Littleton Regional Healthcare

Critical Access Hospitals · Littleton, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301302
Location600 St Johnsbury RoadLittleton, NH 03561 · Grafton County
Emergency services

Huggins Hospital

Critical Access Hospitals · Wolfeboro, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301312
Location240 South Main StreetWolfeboro, NH 03894 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14127 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%479 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Nimalan Vipulananda's NPI number?

The NPI number for Nimalan Vipulananda is 1992065528. It was assigned to this individual provider in the NPPES registry on May 16, 2012.

Where is Nimalan Vipulananda located?

Nimalan Vipulananda practices at 45 Golden Crescent Way, Orchard Park, NY 14127. The listed phone number is (816) 914-1197.

What is Nimalan Vipulananda's specialty?

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

Is Nimalan Vipulananda enrolled in Medicare?

Yes. Nimalan Vipulananda 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 Nimalan Vipulananda accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Nimalan Vipulananda 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 Nimalan Vipulananda affiliated with any hospitals?

According to CMS data, Nimalan Vipulananda is affiliated with Wentworth-Douglass Hospital, Portsmouth Regional Hospital, Littleton Regional Healthcare and Huggins Hospital.

When was this NPI record last updated?

The NPPES record for Nimalan Vipulananda was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.