Niraj Niraula, MD
NPI 1215223722ActiveIndividual· Internal Medicine, Pulmonary Disease· Youngstown, OH
Internal Medicine, Pulmonary Disease (MD) with Mercy Health Physicians Youngstown Specialty Care LLC, practicing in Youngstown, Ohio. Their prescriptions cost Medicare Part D more than their services did: $647,036 for 769 claims, against $79,151 paid for services in 2024. Pulmonx Corporation was the largest of 6 companies reporting payments in 2025, $1,433 in all, mostly food and beverage. Lists Hmhp St Elizabeth Boardman Health Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1215223722 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 22, 2011 |
| Last updated in NPPES | Oct 12, 2022 |
| Certified by provider | Oct 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | 35.130116 | OH |
| Internal Medicine | 207R00000X | 51496 | TN |
| Internal Medicine, Pulmonary Disease | 207RP1001X | 51496 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Critical Care (Intensivists) (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 220 |
|---|---|
| Services billed | 736 across 44 procedure codes |
| Paid by Medicare | $79,151 |
Part D prescriptions in 2024
| Prescriptions (claims) | 769 · 984 30-day fills |
|---|---|
| Patients | 143 |
| Total drug cost | $647,036 |
| Generic share | 44% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Critical Care (Intensivists) |
| Telehealth | Offers telehealth |
Medical group
- Mercy Health Physicians Youngstown Specialty Care LLCWarren, OH · 472 clinicians
Hospital affiliations
- Hmhp St Elizabeth Boardman Health CenterBoardman, OH
- Mh St Elizabeth Youngstown HospitalYoungstown, OH
- Mh St Joseph Warren HospitalWarren, OH
Industry payments (Open Payments)
- 2025$1,433 · 23 payments from 6 companies
- 2024$1,064 · 19 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pulmonx Corporation | $593.51 | 11 |
| Noah Medical Corporation | $288.66 | 2 |
| United Therapeutics Corporation | $266.19 | 4 |
| Baxter Healthcare | $113.93 | 1 |
| Astrazeneca Pharmaceuticals LP | $91.94 | 1 |
What the 2025 payments were for
- Food and Beverage$1,433 · 23 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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