NISHA SHAH KHERADIYA (M.D.) – Ophthalmology Physician, NPI 1891937819
Ophthalmology Physician
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Profile Insights
NPPES metrics only — not quality of care.
328 OPHTHALMOLOGY in IN
Provider Addresses for NISHA SHAH KHERADIYA (M.D.)
8244 E US Highway 36
#200
Avon, IN 461239621
Phone: (317) 272-2020
Fax: (317) 272-6544
Type: Location
1931 BROWN ST
ANDERSON, IN 460164206
Phone:
Type: Mailing
SD Highway 50, Avon, Avon Township, Bon Homme County, South Dakota, United States
#200
AVON, IN 461239621
Phone: (317) 272-2020
Fax: (317) 272-6544
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $342.
Total Amount is formed as General ($342) + Research ($0) + Ownership ($0) = $342.
Last reported payment date: 2024-09-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($196).
Total Amount
$342
General + Research + Ownership
Payments
13
Total payment records
General Amount
$342
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $196 |
| Alcon Vision LLC | $85 |
| ABBVIE INC. | $43 |
| Johnson & Johnson Surgical Vision, Inc. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-07-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140714002122 | I | Ophthalmology | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 200 | 158 | $0 |
| 92134 | Imaging of retina | 196 | 85 | $0 |
| J7999 | Compounded drug, not otherwise classified | 194 | 25 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 114 | 102 | $0 |
| 67028 | Injection of drug into eye | 108 | 26 | $0 |
Insurance plans in this area (ZIP 46123)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | IN | |
| Family Practice, Sports Medicine | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| Family Practice | IN | |
| - | IN | |
| - | CT | |
| - | IN |
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