MEDICARE: NIMISH S NAIK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	35.098996	OH
2	207RN0300X	Nephrology Physician	MD444688	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508910159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIMISH S NAIK M.D.

Provider Business Mailing Address
First Line	:	6500 BROOKTREE RD STE 1100
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-9272
Country	:	US
Telephone Number	:	412-766-3232
Fax Number	:	412-766-4320

Provider Business Practice Location Address
First Line	:	6500 BROOKTREE RD
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-9272
Country	:	US
Telephone Number	:	724-935-2955
Fax Number	:	412-766-1306

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	06/28/2025

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