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NIRAJ KARKI MD
NPI 1104255157
Internal Medicine - Nephrology in Strongsville, OH

Active since November 09, 2013PECOS EnrolledAccepts Medicare Assignment
16761 SOUTHPARK CTR, STRONGSVILLE, OH 44136(833) 427-5634 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2022, Sep 23, 2020, Oct 31, 2016 and 2 more (5 updates tracked since 2016).

About Niraj Karki Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIRAJ KARKI MD (NPI 1104255157) is an individual nephrology provider in Strongsville, Ohio, licensed in Ohio (35.144288) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS, is affiliated with Akron General Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1104255157
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameNIRAJ KARKICredential: MD
Location Address16761 SOUTHPARK CTRStrongsville, OH 44136-9302
Mailing Address9500 Euclid AveCleveland, OH 44195-0001
Phone(833) 427-5634
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 9, 2013
Last NPPES UpdateOctober 17, 20225 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
✔ NPI 1104255157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in OH · 35.144288
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 286105 (NY), E-12931 (AR)
16761 SOUTHPARK CTR, Strongsville, OH 44136
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Niraj Karki Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446530919
PECOS Enrollment IDI20220720001254
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
232 services87 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
111 services99 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
72 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
50 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

Fairview Hospital

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360077
Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County
Emergency services Birthing friendly

Medina Hospital

Acute Care Hospitals · Medina, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360091
Location1000 East Washington StreetMedina, OH 44256 · Medina County
Emergency services

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360364
Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$70.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT M AMORY D.O.
Internal Medicine (Cardiovascular Disease)
16761 SOUTHPARK CTR
STRONGSVILLE, OH 44136
Cuyahoga County (440) 878-2500
DR. JASON VALENT M.D.
Internal Medicine (Hematology & Oncology)
16761 SOUTHPARK CTR, ST30
STRONGSVILLE, OH 44136
Cuyahoga County (440) 878-2500
LAUREN ELIZABETH FULLER MD
Family Medicine
16761 SOUTHPARK CTR
STRONGSVILLE, OH 44136
Cuyahoga County (440) 878-2500
MRS. KELLY M VANDERSCHAEGEN MSSA, LISW, ACM-SW
Social Worker (Clinical)
16761 SOUTHPARK CTR
STRONGSVILLE, OH 44136
Cuyahoga County (440) 878-2500
DR. TAYLOR HERMILLER PHARMD
Pharmacist (Ambulatory Care)
16761 SOUTHPARK CTR
STRONGSVILLE, OH 44136
Cuyahoga County (440) 878-2500
HEIDI A SENOKOZLIEFF DO
Pediatrics
16761 SOUTHPARK CTR
STRONGSVILLE, OH 44136
Cuyahoga County (440) 878-2500
DAVID J SIMKO
Pharmacist
16761 SOUTHPARK CTR
STRONGSVILLE, OH 44136
Cuyahoga County (440) 878-3125
BRIAN WARNER
Specialist/Technologist (Athletic Trainer)
16761 SOUTHPARK CTR
STRONGSVILLE, OH 44136
Cuyahoga County (440) 878-2500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Niraj Karki's NPI number?

The NPI number for Niraj Karki is 1104255157. It was assigned to this individual provider in the NPPES registry on November 9, 2013.

Where is Niraj Karki located?

Niraj Karki practices at 16761 Southpark Ctr, Strongsville, OH 44136. The listed phone number is (833) 427-5634.

What is Niraj Karki's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Niraj Karki enrolled in Medicare?

Yes. Niraj Karki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Niraj Karki accept?

Health plans from Oscar Insurance Corporation of Ohio list Niraj Karki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Niraj Karki affiliated with any hospitals?

According to CMS data, Niraj Karki is affiliated with Akron General Medical Center, Fairview Hospital, Medina Hospital, Cleveland Clinic and Cleveland Clinic Avon Hospital.

When was this NPI record last updated?

The NPPES record for Niraj Karki was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.