NPPES file of Aug 9, 2026

Niraj Madhani, MD

Internal Medicine Physician · San Diego, CA

Niraj Madhani, MD is an internal medicine physician with a practice address in San Diego, California, and NPI 1891254868, issued on Mar 18, 2019. Check the license (California A177048, 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
1891254868
Name
Niraj Madhani
Credential
MD
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
A177048 CA
Self-reported in NPPES; status is on the state search
Practice location
200 W Arbor Dr, San Diego, CA 92103
Phone
(800) 926-8273
Enumerated
Mar 18, 2019
Record last updated
Jun 10, 2022
Medicare enrollment
Enrolled (PECOS I20250114001922); accepts Medicare assignment
Medical or professional school
University Of Kansas School Of Med (Kc/Wich/Sal), 2019
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 200 W Arbor Dr

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

  1. Alison A'Court, MDAnesthesiology Physician1912218199
  2. Benjamin Abbadessa, M.D.Colon & Rectal Surgery Physician1255593612
  3. Geraldine Abcede, RNCertified Registered Nurse Anesthetist1982384046
  4. Joseph Abdelmalek, M.DNephrology Physician1740485531
  5. Kristy AbelCertified Registered Nurse Anesthetist1962113035
  6. Paula Abeleda, NPFamily Nurse Practitioner1558945022

Verify Niraj Madhani in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license A177048
    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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99% fewer Medicare Part D claims than the average internal medicine physician in 2024

16 Medicare Part D claims, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D.

  1. Niraj Madhani16
  2. Specialty average3,176

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.

Bills Medicare through one group practice

  1. Healthtexas Provider NetworkDallas, TX

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

Niraj Madhani among 17,696 internal medicine physician records in California

Niraj Madhani, MD is one of 17,696 internal medicine physician records with a practice address in California. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 86% of them.

  • NPI issued2019 · 86% of these records are older, 11% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 63% of these records are
  • Graduated2019 · median 2004 among the 11,065 with a school on file
  • Record last updated2022 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

961 internal medicine physician records list a practice address in San Diego

They are 961 of the 52,937 NPPES records with a practice address in San Diego, and 17,696 internal medicine physician records in California.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Hamid Amjadi, DOSan Diego, CA 921031700861333
  2. Donald Brandon, M.D.San Diego, CA 921031740272467
  3. Daniel Bressler, M.D.San Diego, CA 921031700887726
  4. Eric Dahms, M.D.San Diego, CA 921031306808464
  5. Janette Gray, M.D.San Diego, CA 921031295721876
  6. San Hsieh, MDSan Diego, CA 921031851388847
  7. Arthur Kingsbury, M.D.San Diego, CA 921031144216284
  8. Timothy O'Neill, M.D.San Diego, CA 921031831172295

Common questions

What is Niraj Madhani, MD's NPI number?

Niraj Madhani, MD's National Provider Identifier (NPI) is 1891254868, issued on Mar 18, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Niraj Madhani, MD located?

The NPPES record lists a practice address at 200 W Arbor Dr, San Diego, CA, 92103. Phone: (800) 926-8273. Providers update this record themselves, so call before visiting.

How can I verify Niraj Madhani, MD's license?

NPPES lists California license number A177048, 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 Niraj Madhani, MD prescribe under Medicare Part D?

In 2024, Niraj Madhani, MD had 16 Medicare Part D claims; the average among internal medicine physician prescribers was 3,176. 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.