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DR. ADITYA KUMAR NIRMAL M.D.
NPI 1104262344
Emergency Medicine in Quinlan, TX

Active since May 15, 2013PECOS EnrolledAccepts Medicare Assignment
738 E QUINLAN PKWY, QUINLAN, TX 75474(903) 408-4800 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2021, Jul 17, 2017 (2 updates tracked since 2017).

About Dr. Aditya Kumar Nirmal M.d. NPPES

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

DR. ADITYA KUMAR NIRMAL M.D. (NPI 1104262344) is an individual emergency medicine provider in Quinlan, Texas, licensed in Texas (R2691) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Hunt Regional Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1104262344
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ADITYA KUMAR NIRMALCredential: M.D.
Location Address738 E QUINLAN PKWYQuinlan, TX 75474-8640
Mailing Address2633 Mckinney Ave Ste 130-774Dallas, TX 75204-2581
Phone(903) 408-4800
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 15, 2013
Last NPPES UpdateSeptember 20, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
✔ NPI 1104262344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · R2691
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
738 E QUINLAN PKWY, Quinlan, TX 75474
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Blue Cross and Blue Shield of Texas.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

Dr. Aditya Kumar Nirmal M.d. 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 ID7810288867
PECOS Enrollment IDI20170808003270
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
277 services256 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
175 services166 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
74 services74 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services29 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
23 services22 patients

Hospital Affiliations CMS Care Compare

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

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75474 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
48%48 patients3/55-star benchmark: 100%
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
1%97 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

TEXAS EM-I MEDICAL SERVICES PA
Emergency Medicine
738 E QUINLAN PKWY
QUINLAN, TX 75474
Hunt County (469) 401-2386
AUKLET EMERGENCY PHYSICIANS PLLC
Emergency Medicine
738 E QUINLAN PKWY
QUINLAN, TX 75474
Hunt County (973) 251-1132

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 Aditya Nirmal's NPI number?

The NPI number for Aditya Nirmal is 1104262344. It was assigned to this individual provider in the NPPES registry on May 15, 2013.

Where is Aditya Nirmal located?

Aditya Nirmal practices at 738 E Quinlan Pkwy, Quinlan, TX 75474. The listed phone number is (903) 408-4800.

What is Aditya Nirmal's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Aditya Nirmal enrolled in Medicare?

Yes. Aditya Nirmal 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 Aditya Nirmal accept?

Health plans from AvMed and Blue Cross and Blue Shield of Texas list Aditya Nirmal 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 Aditya Nirmal affiliated with any hospitals?

According to CMS data, Aditya Nirmal is affiliated with Hunt Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Aditya Nirmal was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.