Nirmal Guragain, M.D.
Internal Medicine Physician · Fort Smith, AR
Nirmal Guragain, M.D. is an internal medicine physician with a practice address in Fort Smith, Arkansas, and NPI 1144699984, issued on Sep 23, 2015. Check the license (Arkansas E-11612, as entered in NPPES) on the Arkansas State Medical Board; the Medicare figures below come from public CMS files.
- Name
- Nirmal Guragain
- Credential
- M.D.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- E-11612 AR
Self-reported in NPPES; status is on the state search - Practice location
- 1001 Towson Ave, Fort Smith, AR 72901
- Phone
- (479) 441-5005
- Enumerated
- Sep 23, 2015
- Record last updated
- Oct 15, 2019 (not updated in 7 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20220502002432); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 768 in Arkansas → Look up another NPI →
Also registered at 1001 Towson Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Nirmal Guragain in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersArkansas State Medical Board
Search for license E-11612Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
91% fewer Medicare Part D claims than the average internal medicine physician in 2024
283 Medicare Part D claims for 126 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D.
Most prescribed
- Amoxicillin-Clavulanate Potass23 claims
- Prednisone21 claims
- Atorvastatin Calcium16 claims
- Clopidogrel13 claims
- Furosemide12 claims
- Pantoprazole Sodium11 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.
The practice group's MIPS final score for 2023 (Medicare payment program): 84.9 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $43.73
2 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 50,334 providers of this specialty with any payment received $1,303.06 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 2 group practices
- Emergency Medicine Associates P.A., P.C.Westminster, MD
- Northwest Hospital Center IncRandallstown, MD
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nirmal Guragain among 768 internal medicine physician records in Arkansas
Nirmal Guragain, M.D. is one of 768 internal medicine physician records with a practice address in Arkansas. 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 2015, is newer than 61% of them.
- NPI issued2015 · 61% of these records are older, 36% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated2018 · median 2010 among the 519 with a school on file
- Record last updated2019 · 50% 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 Arkansas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
68 internal medicine physician records list a practice address in Fort Smith
They are 68 of the 2,951 NPPES records with a practice address in Fort Smith, and 768 internal medicine physician records in Arkansas.
All 768 in Arkansas → Every provider in Fort Smith → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Joel Cheong, M.D.Fort Smith, AR 729011255309159
- Jon Harper, MDFort Smith, AR 729011548258361
- Richard Hinkle, MDFort Smith, AR 729011346238441
- Charles Jennings, MDFort Smith, AR 729011558359398
- Holly Jennings, MDFort Smith, AR 729011083602825
- Fareed Kannout, MDFort Smith, AR 729011144242892
- John Kientz, MDFort Smith, AR 729011568450393
- Thuylinh Pham, M.D.Fort Smith, AR 729011356396790
Common questions
What is Nirmal Guragain, M.D.'s NPI number?
Nirmal Guragain, M.D.'s National Provider Identifier (NPI) is 1144699984, issued on Sep 23, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Nirmal Guragain, M.D. located?
The NPPES record lists a practice address at 1001 Towson Ave, Fort Smith, AR, 72901. Phone: (479) 441-5005. Providers update this record themselves, so call before visiting.
How can I verify Nirmal Guragain, M.D.'s license?
NPPES lists Arkansas license number E-11612, as entered by the provider. Search the Arkansas State Medical Board at https://armedicalboard.adh.arkansas.gov/public/verify/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Nirmal Guragain, M.D. prescribe under Medicare Part D?
In 2024, Nirmal Guragain, M.D. had 283 Medicare Part D claims for 126 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Nirmal Guragain, M.D.'s MIPS final score?
The 2023 MIPS final score is 84.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
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.