Nisha Manoj Ghayalod, MD is a medicare enrolled "Family Medicine - Addiction Medicine" physician in Southold, New York. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Cambridge Public Health Commission and her current practice location is
44360 County Road 48, Southold, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 734-8742.
Nisha Manoj Ghayalod is licensed to practice in Massachusetts (license number 1017323) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790361392.
Physician's Profile
| Full Name | Nisha Manoj Ghayalod |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 4 Years |
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| Location | 44360 County Road 48, Southold, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nisha Manoj Ghayalod graduated from medical school in 2021
NPI Data:
- NPI Number: 1790361392
- Provider Enumeration Date: 03/23/2021
- Last Update Date: 11/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 9830636844
- Enrollment ID: I20240807002995
Medical Identifiers
Medical identifiers for Nisha Manoj Ghayalod such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790361392 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0401X | Family Medicine - Addiction Medicine | 1017323 (Massachusetts) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cambridge Public Health Commission | 8921910894 | 588 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nisha Manoj Ghayalod allows following entities to bill medicare on her behalf.
| Entity Name | Cambridge Public Health Commission |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932313228
PECOS PAC ID: 8921910894
Enrollment ID: O20050808000725 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nisha Manoj Ghayalod is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Nisha Manoj Ghayalod, MD
44360 County Road 48,
Southold, NY 11971-5033
Ph: () - | Nisha Manoj Ghayalod, MD
44360 County Road 48,
Southold, NY 11971-5033
Ph: (631) 734-8742 |
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