Niraj Niraula, MD
Pulmonary Disease Physician · Youngstown, OH
Niraj Niraula, MD is a pulmonary disease physician with a practice address in Youngstown, Ohio, and NPI 1215223722, issued on Jun 22, 2011. Check the license (Ohio 35.130116, as entered in NPPES) on the State Medical Board of Ohio; the Medicare figures below come from public CMS files.
- Name
- Niraj Niraula
- Credential
- MD
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License numbers
- 35.130116 OH
51496 TN
Self-reported in NPPES; status is on the state search - Practice location
- 4694 Belmont Ave, Youngstown, OH 44505
- Phone
- (330) 480-4080
- Enumerated
- Jun 22, 2011
- Record last updated
- Oct 12, 2022
- Fax
- (330) 480-4078
- Medicare enrollment
- Enrolled (PECOS I20170403002578); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 659 in Ohio → Look up another NPI →
Also registered at 4694 Belmont Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Caelan HylandFamily Medicine Physician1396487617
- Shawna Koprucki, MDFamily Medicine Physician1093969735
- Tejdeep Singh, MDInternal Medicine Physician1356317622
- Caitlin Spillan, PA-CPhysician Assistant1124423876
- Carlisle Tofil Cope, DOFamily Medicine Physician1225617095
Verify Niraj Niraula in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersState Medical Board of Ohio
Search for license 35.130116Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
46% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
769 Medicare Part D claims for 143 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 56% of claims.
Most prescribed
- Trelegy Ellipta190 claims
- Albuterol Sulfate Hfa183 claims
- Prednisone47 claims
- Ventolin Hfa33 claims
- Sildenafil Citrate23 claims
- Spiriva Respimat23 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: $1,064.13
19 payments; by number, the most common kind was food and beverage; the largest payer was Pulmonx Corporation. 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.
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
- Mercy Health Physicians Youngstown Specialty Care LLCYoungstown, OH
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Niraj Niraula among 659 pulmonary disease physician records in Ohio
Niraj Niraula, MD is one of 659 pulmonary disease physician records with a practice address in Ohio. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 67% of them.
- NPI issued2011 · 67% of these records are older, 29% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 78% of these records are
- Graduated2004 · median 2005 among the 516 with a school on file
- Record last updated2022 · 48% 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 Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in Ohio
There are 659 pulmonary disease physician records in Ohio.
All 659 in Ohio → Every provider in Youngstown → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Kowriah Amirthalingam, M.D.Youngstown, OH 445051699769968
- Timothy Barreiro, D.O.Youngstown, OH 445041679670707
- Madhu Kollipara, MDYoungstown, OH 445041891706834
- Molly Howsare, DOYoungstown, OH 445101427304344
- Digvijay Singh, M.D.Youngstown, OH 445101578515425
- Vipin Villgran, MDYoungstown, OH 445101013262690
- Harrison Wood, DOYoungstown, OH 445101922627702
- Manuel Bautista, MDBoardman, OH 445121093793689
Common questions
What is Niraj Niraula, MD's NPI number?
Niraj Niraula, MD's National Provider Identifier (NPI) is 1215223722, issued on Jun 22, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Niraj Niraula, MD located?
The NPPES record lists a practice address at 4694 Belmont Ave, Youngstown, OH, 44505. Phone: (330) 480-4080. Providers update this record themselves, so call before visiting.
How can I verify Niraj Niraula, MD's license?
NPPES lists Ohio license number 35.130116, as entered by the provider. Search the State Medical Board of Ohio at https://elicense.ohio.gov/oh_verifylicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Niraj Niraula, MD prescribe under Medicare Part D?
In 2024, Niraj Niraula, MD had 769 Medicare Part D claims for 143 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.