Individual provider Active NPI

Nikhil Deshpande, MD

  • Gastroenterology Physician
  • Somers Point, NJ
National Provider Identifier
1003869041
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA08465300 Issued in NJ
Practice address
408 Bethel Rd
Suite E
Somers Point, NJ 08244-2172
Phone
(609) 926-3330
Fax
(609) 926-9033
NPI assigned
May 19, 2006
Last updated
Nov 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA08465300 NJ Primary

Addresses

Primary practice location

408 Bethel Rd
Suite E
Somers Point, NJ 08244-2172

Mailing address

408 Bethel Rd
Suite E
Somers Point, NJ 08244-2172
Phone (609) 926-3330

Other identifiers 2

IdentifierTypeStateIssuer
11256MedicaidND
123168500MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090224000616 NJ Practitioner - Gastroenterology 0244235927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

408 Bethel Rd
Suite E
Somers Point, NJ 08244-2172
Phone (609) 926-3330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy132
Upper gastrointestinal (GI) endoscopy for acid reflux147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC Gastroenterology CurrentSince May 28, 2021 Accepting new patients
Atlantic Coast Gastroenterology Associates Gastroenterology Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

425 Route 9 N
Cape May Court House, NJ 08210
Phone (609) 926-3330

98 James St
Ste 200
Edison, NJ 08820
Phone (732) 230-2328

2500 English Creek Ave
Ste 903
Egg Harbor Township, NJ 08234
Phone (609) 645-1880

2500 English Creek Ave
Egg Hbr Twp, NJ 08234
Phone (609) 272-0909

408 Bethel Rd
Ste E
Somers Point, NJ 08244
Phone (609) 926-3330

1133 E Chestnut Ave
Bldg 2A
Vineland, NJ 08360
Phone (609) 926-3330

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Interoperability endpoints

  • Direct secure messaging: nikhil.deshpande.1@24721.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1003869041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 BETHEL RD",
            "address_2": "SUITE E",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442172",
            "telephone_number": "609-926-3330",
            "fax_number": "609-926-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 BETHEL RD",
            "address_2": "SUITE E",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442172",
            "telephone_number": "609-926-3330",
            "fax_number": "609-926-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHPANDE",
        "first_name": "NIKHIL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA08465300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11256",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123168500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.