NPPES file of Aug 9, 2026

Merrill Ralph Nisam, MD

Pulmonary Disease Physician · Larkspur, CA

Merrill Ralph Nisam, MD is a pulmonary disease physician with a practice address in Larkspur, California, and NPI 1205824067, issued on Oct 6, 2005. Check the license (California A45217, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1205824067
Name
Merrill Ralph Nisam
Credential
MD
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License number
A45217 CA
Self-reported in NPPES; status is on the state search
Practice location
1100 Larkspur Landing Cir Ste 10, Larkspur, CA 94939
Phone
(415) 924-1214
Enumerated
Oct 6, 2005
Record last updated
Dec 16, 2025
Fax
(415) 924-1375
Medicaid ID
ZZZ79929Z CA
Medicare enrollment
Enrolled (PECOS I20040102000689); may accept Medicare assignment
Medical or professional school
University Of California, Davis School Of Medicine, 1980
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1100 Larkspur Landing Cir Ste 10

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Injil Abubakar, MDFamily Medicine Physician1013095041
  2. Saba Bagewadi, M.D.Pediatrics Physician1588059059
  3. Anjuli Brighton, MDPulmonary Disease Physician1407110588
  4. Robert DorisInternal Medicine Physician1528647096
  5. Grace Fong, D.O.Family Medicine Physician1952559585
  6. Maria Garcia-Ball, RNFamily Nurse Practitioner1972987519

Verify Merrill Ralph Nisam in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license A45217
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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8% fewer Medicare Part D claims than the average pulmonary disease physician in 2024

1,316 Medicare Part D claims for 294 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 62% of claims.

  1. Merrill Nisam1,316
  2. Specialty average1,425

Most prescribed

  1. Spiriva Respimat154 claims
  2. Symbicort111 claims
  3. Albuterol Sulfate Hfa97 claims
  4. Montelukast Sodium76 claims
  5. Breyna73 claims
  6. Breztri Aerosphere73 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $280.76

3 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Merrill Nisam$280.76
  2. Specialty average$5,159.88

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Regents Univ OF California UcsfSan Francisco, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Merrill Ralph Nisam among 1,443 pulmonary disease physician records in California

Merrill Ralph Nisam, MD is one of 1,443 pulmonary disease physician records with a practice address in California. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 93% newer
  • In a Medicare fileYes · 84% of these records are
  • In the CMS Doctors and Clinicians fileYes · 74% of these records are
  • Graduated1980 · median 2002 among the 1,061 with a school on file
  • Record last updated2025 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

4 pulmonary disease physician records list a practice address in Larkspur

They are 4 of the 291 NPPES records with a practice address in Larkspur, and 1,443 pulmonary disease physician records in California.

The 8 pulmonary disease physician records with the nearest ZIP codes

  1. Anjuli Brighton, MDLarkspur, CA 949391407110588
  2. Michelle Low, DOLarkspur, CA 949391285294322
  3. Sheeja Schuster, MD/MPHLarkspur, CA 949391679912828
  4. Lewis Lehman, MDMill Valley, CA 949411255616314
  5. Darya Soto, MDNovato, CA 949451982656013
  6. Guy Livnat, MDGreenbrae, CA 949041881682656
  7. Fred Hom, MDSan Rafael, CA 949031326130071
  8. Christian Gronbeck, MDSan Rafael, CA 949011205472339

Common questions

What is Merrill Ralph Nisam, MD's NPI number?

Merrill Ralph Nisam, MD's National Provider Identifier (NPI) is 1205824067, issued on Oct 6, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Merrill Ralph Nisam, MD located?

The NPPES record lists a practice address at 1100 Larkspur Landing Cir Ste 10, Larkspur, CA, 94939. Phone: (415) 924-1214. Providers update this record themselves, so call before visiting.

How can I verify Merrill Ralph Nisam, MD's license?

NPPES lists California license number A45217, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Merrill Ralph Nisam, MD prescribe under Medicare Part D?

In 2024, Merrill Ralph Nisam, MD had 1,316 Medicare Part D claims for 294 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.