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NIRAJ KUMAR ASTHANA
NPI 1275199093
Psychiatry & Neurology - Psychiatry in La Jolla, CA

Active since May 16, 2019PECOS EnrolledAccepts Medicare Assignment
9500 GILMAN DR # 851, LA JOLLA, CA 92093(619) 471-0209 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Niraj Kumar Asthana NPPES

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

NIRAJ KUMAR ASTHANA (NPI 1275199093) is an individual psychiatry provider in La Jolla, California, licensed in California (PTL3162) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2019).

NPPES Registry Identity

NPI1275199093
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameNIRAJ KUMAR ASTHANA
Location Address9500 GILMAN DR # 851La Jolla, CA 92093-5004
Mailing Address9500 Gilman Dr # 851La Jolla, CA 92093-5004 · (619) 471-0209
Phone(619) 471-0209
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2019
Enumeration DateMay 16, 2019
Last NPPES UpdateAugust 30, 2021
NPPES CertifiedAugust 11, 2021
✔ NPI 1275199093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · PTL3162
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
9500 GILMAN DR # 851, La Jolla, CA 92093
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Niraj Kumar Asthana 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 ID547621443
PECOS Enrollment IDI20241219004270
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.

Medicare Billing Reassignment

Medicare enrollment records show Niraj Asthana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
408 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92093 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Asthana's NPI number?

The NPI number for Niraj Asthana is 1275199093. It was assigned to this individual provider in the NPPES registry on May 16, 2019.

Where is Niraj Asthana located?

Niraj Asthana practices at 9500 Gilman Dr # 851, La Jolla, CA 92093. The listed phone number is (619) 471-0209.

What is Niraj Asthana's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Niraj Asthana enrolled in Medicare?

Yes. Niraj Asthana 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.

Which organization bills Medicare for Niraj Asthana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niraj Asthana reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Niraj Asthana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Niraj Asthana was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.