Individual provider Active NPI

Anish H Nayee, MD

  • Urology Physician
  • Elkhart, IN
National Provider Identifier
1417936725
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
01051364 Issued in IN
Practice address
1506 Osolo Road
Ste a
Elkhart, IN 46514-4122
Phone
(574) 295-1131
Fax
(574) 524-8211
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 01051364 IN Primary

Addresses

Primary practice location

1506 Osolo Road
Ste a
Elkhart, IN 46514-4122

Mailing address

3245 Health Dr
Ste 100
Granger, IN 46530-1380
Phone (574) 647-1610

Other identifiers 1

IdentifierTypeStateIssuer
200306010AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100730000692 IN Practitioner - Urology 7517914237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Vanderbilt University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

105 N Nappanee St
BMG Urology Elkhart
Elkhart, IN 46514-1957
Phone (574) 206-0305

1302 College Ave
Suite 2
Goshen, IN 46526-4939
Phone (574) 206-0380

1506 Osolo Rd
Elkhart, IN 46514-4122
Phone (574) 206-0305

600 E Blvd
Elkhart, IN 46514-2483

600 E Blvd 4TH FL Hospitalists
BMG Hospital Specialties
Elkhart, IN 46514-2483
Phone (574) 647-3050

6913 N Main St
Granger, IN 46530-8039

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01051364INMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of Elkhart,Inc Urology CurrentSince Jul 1, 2001 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
Beacon Medical Group, Inc. Urology CurrentSince Jan 1, 2025 Accepting new patients
Beacon Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients

Locations

1506 Osolo Rd
#A
Elkhart, IN 46514
Phone (574) 295-1131

105 N Nappanee St
Elkhart, IN 46514
Phone (574) 206-0305

1302 College Ave
Ste 2
Goshen, IN 46526
Phone (574) 206-0380

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15748/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 6

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1417936725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR",
            "address_2": "STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "574-647-1610",
            "fax_number": "574-237-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 OSOLO ROAD",
            "address_2": "STE A",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144122",
            "telephone_number": "574-295-1131",
            "fax_number": "574-524-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYEE",
        "first_name": "ANISH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01051364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200306010A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.