Doctor profile · Federal record

Dr. Niraj Madhani, MD

Internal Medicine Physician (CMS: Internal Medicine) · San Diego, CA

  • NPI 1891254868
  • Accepts Medicare
  • 7 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
200 W Arbor Dr
San Diego, CA 921039000
(800) 926-8273
Additional location
5323 Harry Hines Blvd
Dallas, TX 753907201
(214) 590-8000
Mailing address
Po Box 232410
San Diego, CA 921932410

Credentials & registration

NPPES · NUCC
NPI registered
March 2019 — 7 yrs on file
Profile last updated
June 10, 2022
Year of graduation
2019 — 7 yrs since
Specialty taxonomy
207R00000X — NUCC code
State license (1)
California #A177048

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1891254868. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
183
Distinct HCPCS
3
Medicare allowed
$28,707
HCPCS Description Services Patients Avg allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 107 105 $178
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 64 61 $134
99221 Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 12 12 $85

In context: peer comparison

Among 193 peers in San Diego Internal Medicine Physician, average services per provider: 141. This provider delivers 1.3× the peer median.

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Niraj Madhani's medical specialty?
Dr. Niraj Madhani practices Internal Medicine Physician in San Diego, CA.
Where does Dr. Niraj Madhani practice?
Dr. Niraj Madhani practices at 200 W Arbor Dr, San Diego, CA 921039000. Office phone: 8009268273.
What is Dr. Niraj Madhani's NPI?
Dr. Niraj Madhani's National Provider Identifier (NPI) is 1891254868, issued by NPPES.
Does Dr. Niraj Madhani accept Medicare assignment?
Yes. Dr. Niraj Madhani accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Niraj Madhani commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with moderate level of medical decision making (HCPCS 99223); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Initial hospital care with straightforward or low level of medical decision making (HCPCS 99221). Source: CMS Medicare Physician & Other Practitioners file.