NPIMap

Individual provider Active NPI

Niraj Niraula, MD

  • Pulmonary Disease Physician
  • Youngstown, OH
National Provider Identifier
1215223722
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35.130116 Issued in OH
Practice address
4694 Belmont Ave
Youngstown, OH 44505-1012
Phone
(330) 480-4080
Fax
(330) 480-4078
NPI assigned
Jun 22, 2011
Last updated
Oct 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51496 TN
Pulmonary Disease Physician 207RP1001X 51496 TN
Pulmonary Disease Physician 207RP1001X 35.130116 OH Primary

Addresses

Primary practice location

4694 Belmont Ave
Youngstown, OH 44505-1012

Mailing address

4694 Belmont Ave
Youngstown, OH 44505-1012
Phone (330) 480-4080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170403002578 OH Practitioner - Critical Care (Intensivists) 0648406884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1001 Covington St
Youngstown, OH 44510-1617
Phone (330) 480-3195

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51496TNMDInternal Medicine Physician
35.130116OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Oct 16, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Pulmonary Disease CurrentSince Oct 16, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Past Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1001 Covington St
Youngstown, OH 44510
Phone (330) 480-2616

1001 Covington St
Fl 2
Youngstown, OH 44510
Phone (330) 480-3033

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

4694 Belmont Ave
Youngstown, OH 44505
Phone (330) 480-7655

Interoperability endpoints

  • Direct secure messaging: nniraula274035@direct.bsmhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1215223722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4694 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051012",
            "telephone_number": "330-480-4080",
            "fax_number": "330-480-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4694 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051012",
            "telephone_number": "330-480-4080",
            "fax_number": "330-480-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIRAULA",
        "first_name": "NIRAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "51496",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "51496",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.130116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.