DR. NAVINDERDEEP SINGH NIJHER M.D.
NPI 1639164619
Surgery - Plastic and Reconstructive Surgery in Ocala, FL
NPI Status: Active since September 15, 2005
Contact Information
3320 SW 34TH CIR
OCALA, FL
ZIP 34474
Phone: (352) 629-8154
Fax: (352) 629-5231
- Individual
- Male
- Years of Experience 29
- Surgery
- Plastic and Reconstructive Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About NAVINDERDEEP NIJHER
This page provides the complete NPI Profile along with additional information for Navinderdeep Nijher, a provider established in Ocala, Florida with a medical specialization in Surgery, focusing in plastic and reconstructive surgery and more than 29 years of experience. He graduated from Boston University School Of Medicine in 1997. The healthcare provider is registered in the NPI registry with number 1639164619 assigned on September 2005. The practitioner's primary taxonomy code is 2086S0122X with license number ME93294 (FL). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1639164619
- Provider Name
- DR. NAVINDERDEEP SINGH NIJHER M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3320 SW 34TH CIR OCALA, FL 34474
- Location Phone
- (352) 629-8154
- Location Fax
- (352) 629-5231
- Mailing Address
- 3320 SW 34TH CIR OCALA, FL 34474
- Mailing Phone
- (352) 629-8154
- Mailing Fax
- (352) 629-5231
- Medical School Name
- BOSTON UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 1997
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-15-2005
- Last Update Date
- 08-20-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Plastic and Reconstructive Surgery
- Taxonomy Code
- 2086S0122X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME93294
- License State
- FL
- Taxonomy Description
- A surgeon who specializes in plastic and reconstructive surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 2082S0099X | Allopathic & Osteopathic Physicians | Plastic Surgery | ME93294 (FL) |
2 | 2082S0105X | Allopathic & Osteopathic Physicians | Plastic Surgery | ME93294 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
16213 | OTHER (01) | FL | BCBS |
I34870 | MEDICARE UPIN (02) | FL | |
U5001A | MEDICARE ID-TYPE UNSPECIFIED (04) | FL |
Medicare Participation & PECOS Enrollment Status
Navinderdeep Nijher is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Navinderdeep Nijher is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4587690219
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20050713000750
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Mastectomy
Melanoma (skin cancer) excision
A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.
This service was performed for 1-10 patientsMelanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
This service was performed for 1-10 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Care Plan | 100% | 57 |
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
Collection and follow-up on patient experience and satisfaction data on beneficiary engagement | Yes | N/A |
Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan. | ||
Engagement of Patients, Family, and Caregivers in Developing a Plan of Care | Yes | N/A |
Engage patients, family, and caregivers in developing a plan of care and prioritizing their goals for action, documented in the electronic health record (EHR) technology. | ||
Improved Practices that Engage Patients Pre-Visit | Yes | N/A |
Implementation of workflow changes that engage patients prior to the visit, such as a pre-visit development of a shared visit agenda with the patient, or targeted pre-visit laboratory testing that will be resulted and available to the MIPS eligible clinician to review and discuss during the patient’s appointment.. | ||
Pneumococcal Vaccination Status for Older Adults | 76% | 58 |
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | 65 |
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
Screening for Osteoporosis for Women Aged 65-85 Years of Age | 23% | 47 |
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis |
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Navinderdeep Nijher is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
ADVENTHEALTH OCALA | 1500 SW 1ST AVE OCALA, FL 34474 | (352) 351-7200 | Acute Care Hospitals | |
MARION COMMUNTIY HOSPITAL | 1431 SW 1ST AVE OCALA, FL 34471 | (352) 401-1000 | Acute Care Hospitals |
Reviews for DR. NAVINDERDEEP SINGH NIJHER M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 3 | 9 | 1 | 6 | 4 | 6 | 1 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 6 | 9 | 2 | 6 | 8 | 6 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 6 + 9 + 2 + 6 + 8 + 6 + 2 + 24 = 71 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 71 = 9 | 9 |
The NPI number 1639164619 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1629071089 | JAMES H ROGERS M.D. Individual | Surgery (Plastic and Reconstructive Surgery) | 3320 SW 34TH CIR OCALA, FL 34474 (352) 629-8154 |
1578558557 | DR. LEONIK ANGELO AHUMADA M.D. Individual | Surgery (Plastic and Reconstructive Surgery) | 3320 SW 34TH CIR OCALA, FL 34474 (352) 629-8154 |
1295770030 | MS. PAMELA ANN FAUST RN.BSN,CNOR,RNFA Individual | Registered Nurse (Plastic Surgery) | 3320 SW 34TH CIR OCALA, FL 34474 (352) 629-8154 |
1104877729 | AESTHETIC CENTER FOR COSMETIC & RECONSTRUCTIVE SURGERY, LLP Organization | Surgery (Plastic and Reconstructive Surgery) | 3320 SW 34TH CIR OCALA, FL 34474 (352) 629-8154 |
1730579251 | LINDSEY HICKS Individual | Nurse Practitioner (Family) | 3320 SW 34TH CIR OCALA, FL 34474 (352) 629-8154 |
1831424605 | ANDREA R FLYNN PA-C Individual | Physician Assistant | 3320 SW 34TH CIR OCALA, FL 34474 (352) 629-8154 |
1376834564 | JENNEL MARIE CARRERAS-MONTGOMERY MD Individual | Plastic Surgery | 3320 SW 34TH CIR OCALA, FL 34474 (352) 629-8154 |
1932106119 | PADDOCK PARK SURGERY CENTER L L C Organization | Clinic/Center (Ambulatory Surgical) | 3320 SW 34TH CIR OCALA, FL 34474 (352) 479-0149 |
1265661680 | DR. JESSIN HELMRICK-BLOSSOM M.D. Individual | Dermatology (MOHS-Micrographic Surgery) | 3320 SW 34TH CIR OCALA, FL 34474 (352) 629-8154 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639164619, enumerated in the NPI registry as an "individual" on September 15, 2005
The provider is located at 3320 Sw 34th Cir Ocala, Fl 34474 and the phone number is (352) 629-8154
The provider's speciality is Surgery with taxonomy code 2086S0122X with a focus in Plastic and Reconstructive Surgery
The provider has more than 29 years of experience. He graduated from Boston University School Of Medicine in 1997.
The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama, Florida Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Mastectomy and Melanoma (skin cancer) excision.
The practitioner is affiliated to the following hospital(s): ADVENTHEALTH OCALA and MARION COMMUNTIY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on September 15, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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