Dr. Nihal Herath
- Gender: Male
- Experience: 39 years
- Graduation year: 1982
- Sole propriator: No
- NPI: 1972578466
Dr. Nihal Herath MD
Neurologist
He is located at 975 Port Washington Road in Grafton, WI 53024. Can help patients with the following: Cluster Headaches, Complex Regional Pain Syndrome, Concussion, Face Blindness, Progressive Neurological Disorders, Tardive Dyskinesia. His National Provider Identifier (NPI) number is 1972578466. Appointment can be made via the phone number (262) 329-1000. He is affiliated with 3 practices and 2 hospitals.
Conditions treated
Dr. Nihal Herath, being an neurologist, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Nihal Herath.
- Alzheimer's Disease
- Amnesia
- Amyotrophic Lateral Sclerosis (ALS)
- Aphasia
- Autism
- Brain Aneurysm
- Brain Damage
- Brain Hemorrhage
- Cerebral Palsy (CP)
- Cervical Radiculopathy
- Charcot-Marie-Tooth Disease (CMT)
- Claudication
- Cluster Headaches
- Complex Regional Pain Syndrome
- Concussion
- Creutzfeldt-Jakob Disease (CJD)
- Degenerative Disc Disease (DDD)
- Dementia
- Double Vision
- Dyslexia
- Dystonia
- Early Onset Alzheimers
- Encephalitis
- Encephalopathy
- Epilepsy
- Face Blindness
- Fainting
- Febrile Seizure
- Guillain-Barre Syndrome (GBS)
- Head Injury
- Headache
- Heart Disease
- Herniated Disc
- Huntington's Disease (HD)
- Low Back Pain
- Lumbar Spinal Stenosis
- Mad Cow Disease
- Meningitis
- Meralgia Paresthetica
- Migraine
- Motion Sickness
- Multiple Sclerosis (MS)
- Myasthenia Gravis (MG)
- Myofascial Pain Syndrome (MPS)
- Nerve Damage
- Neuropathic Pain
- Optic Neuritis
- PANDAS
- Paralysis
- Parkinson's Disease
- Peripheral Nerve Injuries
- Peripheral Nerve Tumors
- Peripheral Neuropathy
- Pinched Nerve
- Polio
- Progressive Neurological Disorders
- Pseudotumor Cerebri
- Sciatica
- Seizures
- Stiff Person Syndrome (SPS)
- Stroke
- Tardive Dyskinesia
- Tension Headache
- Tics
- Tinnitus
- Tourette Syndrome
- Transient Ischemic Attack (TIA)
- Traumatic Brain Injury
- Tremor
- Trigeminal Neuralgia (TN)
- Vertigo
- Vestibular Testing
- Wernicke-Korsakoff Syndrome
Procedures Performed by Dr. Nihal Herath
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Nihal Herath as in-network for the following 2026 plans.
Health plans
Aspirus Health Plan
Network data as of Jun 3, 2024, as reported by the insurer.
Show all 12 plans from Aspirus Health Plan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| HMO Bronze $0 Medical Deductible | HMO · Expanded Bronze | Aspirussign | Accepting new patients |
| HMO Bronze 10000 | HMO · Bronze | Aspirussign | Accepting new patients |
| HMO Bronze 7500 | HMO · Expanded Bronze | Aspirussign | Accepting new patients |
| HMO Catastrophic 10600 with 3 free PCP visits | HMO · Catastrophic | Aspirussign | Accepting new patients |
| HMO Gold 2000 | HMO · Gold | Aspirussign | Accepting new patients |
| HMO Gold 2700 | HMO · Gold | Aspirussign | Accepting new patients |
| HMO HDHP Silver 5900 | HMO · Silver | Aspirussign | Accepting new patients |
| HMO Silver 6000 | HMO · Silver | Aspirussign | Accepting new patients |
| HMO Silver 6600 | HMO · Silver | Aspirussign | Accepting new patients |
| POS Bronze 7500 | POS · Expanded Bronze | Aspirussign | Accepting new patients |
| POS Bronze 8500 | POS · Bronze | Aspirussign | Accepting new patients |
| POS Silver 6000 | POS · Silver | Aspirussign | Accepting new patients |
CareSource (Common Ground Healthcare)
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 18 plans from CareSource (Common Ground Healthcare)
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze Standard $7500 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $0 Ded | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $3300 | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold Standard $2000 | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver Standard $6000 | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam | EPO · Silver | Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Nihal Herath is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Nihal Herath is enrolled to bill Medicare as a Practitioner - Neurology .
Bills through: Center For Neurological Disorders Sc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Promius Pharma | $619 |
| Cyberonics | $441 |
| Novartis | $330 |
Other
| Food and Beverage | $1514 |
| Consulting | $500 |
| Travel and Lodging | $287 |
| Promotional Speaking or Service | $13 |
Studies
Graduated in 1982Additional Specialities
- Specialist
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Questions & Answers
What conditions does Dr. Nihal Herath treat?
Dr. Nihal Herath provides treatment for Cluster Headaches, Complex Regional Pain Syndrome, Concussion, Face Blindness, Progressive Neurological Disorders, Tardive Dyskinesia. For the full list see this list.
Does Dr. Nihal Herath have affiliation with practices?
Dr. Nihal Herath is affiliated with Wisconsin Health Fund. For the full list of practices see this list.
Has Dr. Nihal Herath affiliation with hospitals?
Dr. Nihal Herath is affiliated with WAUKESHA MEMORIAL HOSPITAL. For the full list of hospitals see this list.
Does Dr. Nihal Herath accept patients with Aspirus Health Plan?
Yes, Dr. Nihal Herath is listed in-network for Aspirus Health Plan through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
Where can you meet with Dr. Nihal Herath?
Dr. Nihal Herath's office is located at 975 Port Washington Road in Grafton, WI 53024.