CMS-1500 Box 24J / 33a • NPI
1952718074
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RI0011X (CMS C3)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
9653 OCEAN HWY, PAWLEYS ISLAND, SC, 29585-7425
✓ 9-Digit EDI 837 ZIP+4 (29585-7425)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1952718074 (NITESH J. AINANI, M.D) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
No
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1952718074)
Medicare Beneficiaries
3,301
Total Billed Services
7,419
Distinct CPT/HCPCS Codes
92
Medicare Allowed Total
$577,329.74
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36415 | Insertion of needle into vein for collection of blood sample | 23 |
78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 226 |
78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 38 |
85610 | Blood test, clotting time | 147 |
92928 | Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch | 69 |
92960 | External shock to heart to regulate heart beat | 20 |
92978 | Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel | 64 |
93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 238 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amiodarone Hcl Amiodarone Hcl | 53 | 16 |
| Amlodipine Besylate Amlodipine Besylate | 327 | 98 |
| Atenolol Atenolol | 44 | 13 |
| Atorvastatin Calcium Atorvastatin Calcium | 376 | 128 |
| Benazepril Hcl Benazepril Hcl | 13 | <11 |
| Brilinta Ticagrelor | 176 | 55 |
| Bumetanide Bumetanide | 34 | <11 |
| Carvedilol Carvedilol | 289 | 84 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1952718074 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | NITESH J. AINANI, M.D |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RI0011X (Internal Medicine, Interventional Cardiology) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 9653 OCEAN HWY, PAWLEYS ISLAND, SC, 29585-7425 |
| Practice Telephone / Fax | Tel: (843) 235-3131 | Fax: (843) 237-9797 |
| Administrative Mailing Address | PO BOX 421718, GEORGETOWN, SC, 29442-4203 |
| Enumeration & Last Sync | Enumerated: 2014-07-21 | CMS Record Updated: 2025-12-03 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207RI0011X)
What Does Taxonomy Code 207RI0011X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RI0011X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (NITESH J. AINANI, M.D)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RC0000X — Internal Medicine, Cardiovascular DiseasePlain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist) | State: SC | License: 85326 | Primary: Secondary |
207RI0011X — Internal Medicine, Interventional CardiologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: SC | License: 85326 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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