Nisha Nepal, MD
NPI 1255919940 · Hospitalist Physician · Plymouth, MA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nisha Nepal, MD is a Hospitalist Physician provider in Plymouth, MA (NPI 1255919940).
Provider details
- NPI number
- 1255919940
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
155 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 112 | $117 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 43 | $114 |
Typical Medicare-allowed amounts for these services range $114–$117 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-01
- Last updated
- 2024-11-06
- Certified
- 2024-11-06
Frequently asked questions
- What is Nisha Nepal's NPI number?
- Nisha Nepal's National Provider Identifier (NPI) is 1255919940, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nisha Nepal's specialty?
- Nisha Nepal is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Nisha Nepal located?
- Nisha Nepal's practice location on file with NPPES is 275 Sandwich St, Plymouth, MA 02360-2183.
- What is Nisha Nepal's phone number?
- The practice phone number listed in the NPPES registry for Nisha Nepal is (508) 746-2000.
- Does Nisha Nepal accept Medicare?
- Nisha Nepal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nisha Nepal's NPI active?
- Yes — Nisha Nepal's NPI (1255919940) is active in the NPPES registry as of the last update on 2024-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.