DR. NIRMAL GURAGAI MD
NPI 1356837165
Student in an Organized Health Care Education/Training Program in Paterson, NJ

Active since July 04, 2018PECOS EnrolledAccepts Medicare Assignment
98.48/100
CMS Quality Rating
703 MAIN ST, PATERSON, NJ 07503(973) 754-2500 Get Directions Write a Review

NPPES record last updated: July 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nirmal Guragai Md NPPES

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

DR. NIRMAL GURAGAI MD (NPI 1356837165) is an individual student in an organized health care education/training program in Paterson, New Jersey and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356837165
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. NIRMAL GURAGAICredential: MD
Location Address703 MAIN STPaterson, NJ 07503-2621
Mailing Address131 Overmount Ave Apt HWoodland Park, NJ 07424-3214 · (551) 689-7216
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 4, 2018
NPI 1356837165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
703 MAIN ST, Paterson, NJ 07503

Secondary Practice Locations 2

Location 1111 Central AveNewark, NJ 07102-1909 · Phone (973) 877-5000
Location 2225 Williamson StElizabeth, NJ 07202-3625 · Phone (908) 994-5000

Accepted 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. Nirmal Guragai 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 ID8224413810
PECOS Enrollment IDI20220919000671
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 30

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.

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.
453 services254 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
252 services63 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
160 services158 patients
Technetium tc-99m sestamibi, diagnostic, per study dose A9500
Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
160 services80 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
122 services110 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.
112 services107 patients

Hospital Affiliations CMS Care Compare

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

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.

98.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.97
Improvement Activities40

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.

Obstetrics & Gynecology (Obstetrics)
703 MAIN ST
PATERSON, NJ 07503
Student in an Organized Health Care Education/Training Program
703 MAIN ST
PATERSON, NJ 07503
Internal Medicine
703 MAIN ST
PATERSON, NJ 07503
Student in an Organized Health Care Education/Training Program
703 MAIN ST
PATERSON, NJ 07503
Nurse Practitioner (Family)
703 MAIN ST
PATERSON, NJ 07503
Student in an Organized Health Care Education/Training Program
703 MAIN ST
PATERSON, NJ 07503
Nurse Practitioner (Neonatal, Critical Care)
703 MAIN ST
PATERSON, NJ 07503
Orthopaedic Surgery
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
PATERSON, NJ 07503

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 Guragai's NPI number?

The NPI number for Nirmal Guragai is 1356837165. It was assigned to this individual provider in the NPPES registry on July 4, 2018.

Where is Nirmal Guragai located?

Nirmal Guragai practices at 703 Main St, Paterson, NJ 07503. The listed phone number is (973) 754-2500.

What is Nirmal Guragai's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nirmal Guragai enrolled in Medicare?

Yes. Nirmal Guragai 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 Nirmal Guragai accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Nirmal Guragai 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 Nirmal Guragai affiliated with any hospitals?

According to CMS data, Nirmal Guragai is affiliated with Cape Fear Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Nirmal Guragai was last updated on July 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.