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NIRAJ BUTALA
NPI 1316280977
Dermatology in Los Angeles, CA

Active since April 02, 2013PECOS EnrolledAccepts Medicare Assignment
200 MED PLAZA, #365, 420, 120, LOS ANGELES, CA 90024(310) 794-1276 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2021, Mar 29, 2018 (2 updates tracked since 2018).

About Niraj Butala NPPES

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

NIRAJ BUTALA (NPI 1316280977) is an individual dermatology provider in Los Angeles, California, licensed in California (A147264) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Riverside, and is a graduate of Saint Louis University School Of Medicine (2013).

NPPES Registry Identity

NPI1316280977
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameNIRAJ BUTALA
Location Address200 MED PLAZA, #365, 420, 120Los Angeles, CA 90024-0001
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707
Phone(310) 794-1276
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2013
Enumeration DateApril 2, 2013
Last NPPES UpdateDecember 1, 20212 updates tracked since enumeration
✔ NPI 1316280977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A147264
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 MED PLAZA, Los Angeles, CA 90024
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Secondary Practice Location 1

Location 16105 Port Au PrinceRiverside, CA 92506-3757 · Phone (951) 318-3330

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 Butala 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 ID9133490378
PECOS Enrollment IDI20170804003409
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90024 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 19

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

DR. GHASSAN HANI NICOLA KHOURY M.D.
Internal Medicine
200 MED PLAZA, SUITE 365, 420, 120
LOS ANGELES, CA 90024
Los Angeles County (310) 794-1276
WANXING CHAI-HO M.D.
Internal Medicine (Hematology & Oncology)
200 MED PLAZA, 365,420,120
LOS ANGELES, CA 90024
Los Angeles County (310) 794-4955
JEONG-HEE KU M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 MED PLAZA, 365,420,120
LOS ANGELES, CA 90024
Los Angeles County (310) 855-7002
DR. NICHOLAS MCANDREW M.D.
Internal Medicine (Hematology & Oncology)
200 MED PLAZA, 365,420,120
LOS ANGELES, CA 90024
Los Angeles County (310) 205-0771
MEGANA BALLAL
Hospitalist
200 MED PLAZA, 365,420,120
LOS ANGELES, CA 90024
Los Angeles County (310) 267-9643
IGOR KAGAN MD
Internal Medicine (Nephrology)
200 MED PLAZA, 365,420,120
LOS ANGLES, CA 90024
Los Angeles County (805) 418-3500
MOLLY OSWALD NP
Nurse Practitioner
200 MED PLAZA, 365,420,120
LOS ANGLES, CA 90024
Los Angeles County (310) 206-6909
EMILY JEAN MARTIN M.D.
Internal Medicine (Hospice and Palliative Medicine)
200 MED PLAZA, #365, 420, 120
LOS ANGELES, CA 90024
Los Angeles County (310) 319-4698

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 Butala's NPI number?

The NPI number for Niraj Butala is 1316280977. It was assigned to this individual provider in the NPPES registry on April 2, 2013.

Where is Niraj Butala located?

Niraj Butala practices at 200 Med Plaza #365, 420, 120, Los Angeles, CA 90024. The listed phone number is (310) 794-1276.

What is Niraj Butala's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Niraj Butala enrolled in Medicare?

Yes. Niraj Butala 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.

When was this NPI record last updated?

The NPPES record for Niraj Butala was last updated on December 1, 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.