Nisha Shah Kheradiya, MD - Medicare Ophthalmology in Anderson, IN

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Nisha Shah Kheradiya, MD is a medicare enrolled "Ophthalmology" physician in Anderson, Indiana. She went to Indiana University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice St Vincent Medical Group Inc and her current practice location is 1931 Brown St, Anderson, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 644-1225.

Nisha Shah Kheradiya is licensed to practice in Indiana (license number 01071573A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891937819.

Contact Information

Nisha Shah Kheradiya, MD
1931 Brown St,
Anderson, IN 46016-4206
(765) 644-1225
Not Available

Map and Direction




Physician's Profile

Full NameNisha Shah Kheradiya
GenderFemale
SpecialityOphthalmology
Experience22 Years
Location1931 Brown St, Anderson, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nisha Shah Kheradiya attended and graduated from Indiana University School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1891937819
  • Provider Enumeration Date: 04/06/2009
  • Last Update Date: 07/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4688899370
  • Enrollment ID: I20140714002122

Medical Identifiers

Medical identifiers for Nisha Shah Kheradiya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891937819NPI-NPPES
01071573AOtherINMEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 01071573A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St Vincent AndersonAnderson, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Vincent Medical Group Inc7012047640626

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nisha Shah Kheradiya allows following entities to bill medicare on her behalf.
Entity NameUniversity Family Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043275787
PECOS PAC ID: 7911992797
Enrollment ID: O20040420000393
Entity NameDaniel R Whipple Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194906909
PECOS PAC ID: 5496892051
Enrollment ID: O20091030000200
Entity NameSt Vincent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144513375
PECOS PAC ID: 7012047640
Enrollment ID: O20100609000045

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nisha Shah Kheradiya is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nisha Shah Kheradiya, MD
1931 Brown St,
Anderson, IN 46016-4206

Ph: () -		Nisha Shah Kheradiya, MD
1931 Brown St,
Anderson, IN 46016-4206

Ph: (765) 644-1225

Reviews and Comments


Ophthalmology Doctors in Anderson, IN

Ms. Yi-shuang Yang, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1628 Medical Arts Blvd, Anderson, IN 46011
Phone: 765-649-5221    Fax: 765-649-1537
Elizabeth Lacy Groves-egan, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1931 Brown St, Anderson, IN 46016
Phone: 765-644-1225    
Dr. John D Jones, MD
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 1628 Medical Arts Blvd, Anderson, IN 46011
Phone: 765-649-5221    Fax: 765-649-1537
Dr. Donald M Perez, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 141 W 22nd St, Suite 112, Anderson, IN 46016
Phone: 765-649-7146    Fax: 765-646-6042

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.