Doctor profile · Federal record
Dr. Niraj Niraula, MD
Pulmonary Disease Physician (CMS: Critical Care (Intensivists)) · Internal Medicine Physician · Pulmonary Disease Physician · Youngstown, OH
- NPI 1215223722
- Accepts Medicare
- 22 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4694 Belmont Ave
Youngstown, OH 445051012
(330) 480-4080
fax (330) 480-4078
Credentials & registration
- NPI registered
- June 2011 — 15 yrs on file
- Profile last updated
- October 12, 2022
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State licenses (2)
- Ohio #35.130116 · Tennessee #51496
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1215223722. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
554
Distinct HCPCS
10
Medicare allowed
$86,143
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 286 | 95 | $205 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 123 | 51 | $115 | |
99292 |
Critical care, each additional 30 minutes | 28 | 24 | $98 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 23 | 14 | $94 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 20 | 20 | $126 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 17 | 15 | $138 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 16 | 16 | $175 | |
31624 |
Irrigation and suction of lung airways to obtain cells using an endoscope | 15 | 15 | $44 | |
94060 |
Test to measure expiratory airflow and volume changes before and after medication administration | 15 | 13 | $10 | |
94010 |
Test to measure expiratory airflow and volume | 11 | 11 | $8 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 75. This provider delivers 7.4× the peer median.Open Payments
Industry payments received
All-time total
$1,064
Transactions
19
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Pulmonx Corporation | 8 | $474.20 | |
| United Therapeutics Corporation | 7 | $418.29 | |
| Regeneron Healthcare Solutions, Inc. | 1 | $98.34 | |
| Merck Sharp & Dohme LLC | 2 | $54.30 | |
| Insmed, Inc. | 1 | $19.00 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
320
Patients
79
Total drug cost
$117,739
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 99 | 27 | $80,668 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 71 | 32 | $2,208 |
| Prednisone | Generic | 44 | 20 | $158 |
| Spiriva Respimat (Tiotropium Bromide) | Brand | 43 | 0 | $23,999 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 24 | 0 | $10,242 |
| Montelukast Sodium | Generic | 14 | 0 | $98 |
| Azithromycin | Generic | 13 | 0 | $134 |
| Pantoprazole Sodium | Generic | 12 | 0 | $231 |
Hospital affiliations
Frequently asked questions
What is Dr. Niraj Niraula's medical specialty?
Dr. Niraj Niraula practices Pulmonary Disease Physician in Youngstown, OH.
Where does Dr. Niraj Niraula practice?
Dr. Niraj Niraula practices at 4694 Belmont Ave, Youngstown, OH 445051012. Office phone: 3304804080.
What is Dr. Niraj Niraula's NPI?
Dr. Niraj Niraula's National Provider Identifier (NPI) is 1215223722, issued by NPPES.
Does Dr. Niraj Niraula accept Medicare assignment?
Yes. Dr. Niraj Niraula accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Niraj Niraula commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Critical care (HCPCS 99292). Source: CMS Medicare Physician & Other Practitioners file.