Nirmal Guragai, MD
Student in an Organized Health Care Education/Training Program (MD) with Cape Fear Cardiology Associates PA, practicing in Paterson, New Jersey. Their prescriptions cost Medicare Part D more than their services did: $299,052 for 1,658 claims, against $194,117 paid for services in 2024. Pfizer Inc. was the largest of 12 companies reporting payments in 2025, $463.78 in all, mostly food and beverage. Lists Cape Fear Valley Medical Center as a hospital affiliation.
Overview
| NPI | 1356837165 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jul 4, 2018 |
| Last updated in NPPES | Jul 4, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Cardiovascular Disease (Cardiology) (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 653 |
|---|---|
| Services billed | 2,293 across 71 procedure codes |
| Paid by Medicare | $194,117 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,658 · 3,452 30-day fills |
|---|---|
| Patients | 256 |
| Total drug cost | $299,052 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Cardiovascular Disease (Cardiology) |
Medical group
- Cape Fear Cardiology Associates PAFayetteville, NC · 11 clinicians
Hospital affiliation
- Cape Fear Valley Medical CenterFayetteville, NC
Industry payments (Open Payments)
- 2025$463.78 · 21 payments from 12 companies
- 2024$541.83 · 19 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $82.61 | 4 |
| Novo Nordisk Inc | $74.93 | 3 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $72.94 | 3 |
| Novartis Pharmaceuticals Corporation | $40.10 | 2 |
| Abiomed | $39.08 | 1 |
What the 2025 payments were for
- Food and Beverage$463.78 · 21 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 231 Student in an Organized Health Care Education/Training Program providers in Paterson · All Student in an Organized Health Care Education/Training Program providers in New Jersey