Nisha Pirani, PA-C
NPI 1366807109 · Physician Assistant · Middletown, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nisha Pirani, PA-C is a Physician Assistant provider in Middletown, NY (NPI 1366807109).
Provider details
- NPI number
- 1366807109
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 019385-1 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
500 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 196 | $82 |
| Removal of Impacted Ear Wax69210 | 131 | $43 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 81 | $101 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 40 | $117 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 30 | $119 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 64 | 37 |
| Famotidine | 40 | 15 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 17 | 17 |
| Omeprazole | 17 | — |
| Azelastine Hcl | 16 | — |
| Fluocinolone Acetonide Oil | 12 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 6734 Route 9Rhinebeck, NY 12572-3724Phone: (845) 231-5600Fax: (845) 202-6115
Registry dates
- Enumerated
- 2015-12-21
- Last updated
- 2021-06-17
- Certified
- 2021-06-17
Frequently asked questions
- What is Nisha Pirani's NPI number?
- Nisha Pirani's National Provider Identifier (NPI) is 1366807109, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nisha Pirani's specialty?
- Nisha Pirani is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nisha Pirani located?
- Nisha Pirani's practice location on file with NPPES is 95 Crystal Run Rd, Middletown, NY 10941-7001.
- What is Nisha Pirani's phone number?
- The practice phone number listed in the NPPES registry for Nisha Pirani is (845) 703-6999.
- Does Nisha Pirani accept Medicare?
- Nisha Pirani is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nisha Pirani's NPI active?
- Yes — Nisha Pirani's NPI (1366807109) is active in the NPPES registry as of the last update on 2021-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.