NIRMAL GURAGAIN M.D.
NPI 1144699984
Internal Medicine in Fort Smith, AR

Active since September 23, 2015PECOS EnrolledAccepts Medicare Assignment
84.89/100
CMS Quality Rating
1001 TOWSON AVE, FORT SMITH, AR 72901(479) 441-5005 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nirmal Guragain M.d. NPPES

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

NIRMAL GURAGAIN M.D. (NPI 1144699984) is an individual internal medicine provider in Fort Smith, Arkansas, licensed in Arkansas (E-11612) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with Sinai Hospital Of Baltimore, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1144699984
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNIRMAL GURAGAINCredential: M.D.
Location Address1001 TOWSON AVEFort Smith, AR 72901-4921
Mailing Address1001 Towson AveFort Smith, AR 72901-4921 · (479) 441-5005
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 23, 2015
Last NPPES UpdateOctober 15, 2019
NPI 1144699984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AR · E-11612
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1001 TOWSON AVE, Fort Smith, AR 72901

Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (856) 242-4003

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

Nirmal Guragain 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 ID2567706765
PECOS Enrollment IDI20220502002432
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 3

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.
772 services271 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
225 services215 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
94 services67 patients

Hospital Affiliations CMS Care Compare 2

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

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210012
Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County
Emergency services Birthing friendly

Northwest Hospital Center

Acute Care Hospitals · Randallstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210040
Location5401 Old Court RoadRandallstown, MD 21133 · Baltimore County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72901 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

84.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.57
Promoting Interoperability100
Improvement Activities40
Cost54.73

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
96%80 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers13 claims13 services$15.94 avg. paid by Medicare
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
3 suppliers13 claims13 services$81.57 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.

Internal Medicine (Pulmonary Disease)
1001 TOWSON AVE
FORT SMITH, AR 72901
Internal Medicine (Critical Care Medicine)
1001 TOWSON AVE
FORT SMITH, AR 72901
Physical Medicine & Rehabilitation
1001 TOWSON AVE
FORT SMITH, AR 72901
Radiology (Diagnostic Radiology)
1001 TOWSON AVE
FORT SMITH, AR 72901
Nurse Practitioner (Acute Care)
1001 TOWSON AVE
FORT SMITH, AR 72901
Internal Medicine
1001 TOWSON AVE
FORT SMITH, AR 72901
Nurse Practitioner (Adult Health)
1001 TOWSON AVE
FORT SMITH, AR 72901
Physician Assistant (Medical)
1001 TOWSON AVE
FORT SMITH, AR 72901

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 Nirmal Guragain's NPI number?

The NPI number for Nirmal Guragain is 1144699984. It was assigned to this individual provider in the NPPES registry on September 23, 2015.

Where is Nirmal Guragain located?

Nirmal Guragain practices at 1001 Towson Ave, Fort Smith, AR 72901. The listed phone number is (479) 441-5005.

What is Nirmal Guragain's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nirmal Guragain enrolled in Medicare?

Yes. Nirmal Guragain 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.

Is Nirmal Guragain affiliated with any hospitals?

According to CMS data, Nirmal Guragain is affiliated with Sinai Hospital Of Baltimore and Northwest Hospital Center.

When was this NPI record last updated?

The NPPES record for Nirmal Guragain was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.