Doctor profile · Federal record

Dr. Nirmal Guragain, M.D.

Internal Medicine Physician (CMS: Hospitalist) · Student in an Organized Health Care Education/Training Program · Fort Smith, AR

  • NPI 1144699984
  • Accepts Medicare
  • MIPS 74.9 / 100 · 2023
  • 8 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
1001 Towson Ave
Fort Smith, AR 729014921
(479) 441-5005
Additional location
111 E 210Th St
Bronx, NY 104672401
(856) 242-4003

Credentials & registration

NPPES · NUCC
NPI registered
September 2015 — 11 yrs on file
Profile last updated
October 15, 2019
Year of graduation
2018 — 8 yrs since
Specialty taxonomy
207R00000X — NUCC code
State license (1)
Arkansas #E-11612

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1144699984. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,087
Distinct HCPCS
3
Medicare allowed
$91,776
HCPCS Description Services Patients Avg allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 725 261 $82
99239 Hospital discharge day management, more than 30 minutes 205 198 $119
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 157 91 $52

In context: peer comparison

Among 17 peers in this city , average services per provider: 175. This provider delivers 6.2× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$44
Transactions
2
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
ABBVIE INC. 2 $43.73

By nature of payment

Food and Beverage
$44

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
53
Patients
51
Total drug cost
$475
Drug Type Claims Patients Total cost
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 23 23 $190
Prednisone Generic 19 17 $103
Hydralazine Hcl Generic 11 11 $183

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Nirmal Guragain's medical specialty?
Dr. Nirmal Guragain practices Internal Medicine Physician in Fort Smith, AR.
Where does Dr. Nirmal Guragain practice?
Dr. Nirmal Guragain practices at 1001 Towson Ave, Fort Smith, AR 729014921. Office phone: 4794415005.
What is Dr. Nirmal Guragain's NPI?
Dr. Nirmal Guragain's National Provider Identifier (NPI) is 1144699984, issued by NPPES.
Does Dr. Nirmal Guragain accept Medicare assignment?
Yes. Dr. Nirmal Guragain accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nirmal Guragain commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Hospital discharge day management (HCPCS 99239); Subsequent hospital care with straightforward or low level of medical decision making (HCPCS 99231). Source: CMS Medicare Physician & Other Practitioners file.