Individual provider Active NPI

Niraj Lal, MD

  • Otolaryngology Physician
  • Santa Rosa, CA
National Provider Identifier
1770614059
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A41784 Issued in CA
Practice address
1701 4TH St Ste 120
Santa Rosa, CA 95404-3661
Phone
(707) 523-7025
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 01082789A IN
Otolaryngology Physician 207Y00000X A41784 CA Primary

Addresses

Primary practice location

1701 4TH St Ste 120
Santa Rosa, CA 95404-3661

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

2651 E Discoery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-3277

Other practice location 2

710 Lawrence Expy
296
Santa Clara, CA 95051-5173
Phone (408) 851-2950

Other identifiers 2

IdentifierTypeStateIssuer
300072539MedicaidIN
090540845OtherINMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nlal@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110107000293 CA Practitioner - Otolaryngology 6406045392 Reassigns benefits to 4 organizations
I20191010000243 IN Practitioner - Otolaryngology 6406045392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1978
Medicare assignment
May accept Medicare assignment
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A41784CAMDOtolaryngology Physician
01082789AINMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
Regents Univ of California UCSF CurrentSince Jul 28, 2025 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Apr 24, 2023 Accepting new patients
Woodlawn Hospital CurrentSince Oct 1, 2019 Accepting new patients
First Choice Physician Partners CurrentSince Apr 11, 2023 Accepting new patients
Woodlawn Hospital CurrentSince Oct 1, 2019 Accepting new patients
Woodlawn Hospital Current Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Otolaryngology CurrentSince Apr 24, 2023 Accepting new patients
Richard J Trevino MD a Professional Corporation Otolaryngology CurrentSince Aug 1, 2021 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
First Choice Physician Partners CurrentSince Apr 11, 2023 Accepting new patients
Northbay Healthcare Group CurrentSince Nov 29, 2024 Accepting new patients
Nutriviva Inc PastSince Jun 1, 2018 Accepting new patients
UCSF Dept of Surgery Past Accepting new patients
LPCH Medical Group Div of Lucile Past Accepting new patients

Locations

1860 Pennsylvania Ave
Ste 305
Fairfield, CA 94533
Phone (707) 646-4333

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

995 Montague Expy
Ste 218
Milpitas, CA 95035
Phone (408) 890-7295

1541 Florida Ave
Ste 304
Modesto, CA 95350
Phone (209) 576-3832

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1541 Florida Ave
Ste 305
Modesto, CA 95350
Phone (209) 575-5833

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

227 N Jackson Ave
Ste 1205
San Jose, CA 95116
Phone (408) 279-2377

175 N Jackson Ave
Ste 200
San Jose, CA 95116
Phone (408) 384-7160

1701 4th St
Ste 120
Santa Rosa, CA 95404
Phone (707) 523-7025

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

Interoperability endpoints

  • Direct secure messaging: nlal678910@hisp.ehr.sutterhealth.org
  • Direct secure messaging: nlal440524@direct-ucsfmedicalcenter.org

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 4

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1770614059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 4TH ST STE 120",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043661",
            "telephone_number": "707-523-7025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2651 E DISCOERY PKWY",
            "address_purpose": "LOCATION",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474089059",
            "country_code": "US",
            "telephone_number": "812-353-3277",
            "fax_number": "812-333-2433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Lawrence Expy",
            "address_2": "296",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950515173",
            "country_code": "US",
            "telephone_number": "408-851-2950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAL",
        "first_name": "NIRAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01082789A",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A41784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300072539",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "090540845",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nlal@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2651 E DISCOERY PKWY",
            "city": "BLOOMINGTON",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474089059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.