Active NPI
Niraj Lal, MD
- Otolaryngology Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A41784
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300072539 | Medicaid | IN | |
| 090540845 | Other | IN | MEDICARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nlal@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1978
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
Hospital & facility affiliations
- Providence Santa Rosa Memorial Hospital
- Marinhealth Medical Center
- Lutheran Hospital of Indiana
- Adventist Health Ukiah Valley
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A41784 | CA | MD | Otolaryngology Physician |
| 01082789A | IN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Current | Accepting new patients | |
| Regents Univ of California UCSF | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| Woodlawn Hospital | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Woodlawn Hospital | Current | Accepting new patients | |
| Woodlawn Hospital | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians, LLC | Otolaryngology | Current | Accepting new patients |
| Richard J Trevino MD a Professional Corporation | Otolaryngology | Current | Accepting new patients |
| Northbay Healthcare Group | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Nutriviva Inc | Past | 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
- nlal678910@hisp.ehr.sutterhealth.org
- 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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1124439807
-
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
- Otolaryngology Physician
- San Jose, CA
- NPI 1093819724
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
Otolaryngology
-
- Family Medicine Physician
- Argos, IN
- NPI 1639241227
-
- Internal Medicine Physician
- Pismo Beach, CA
- NPI 1215376496
-
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
- Multi-Specialty Clinic/Center
- Vacaville, CA
- NPI 1760534713
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1063179844
-
- Rural Health Clinic/Center
- Rochester, IN
- NPI 1265095988
-
- Emergency Medicine Physician
- Rochester, IN
- NPI 1740496074
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenbrae, CA
- NPI 1396725677
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.