NITI RAJPAL M.D.
NPI 1467711507
Internal Medicine in Garden City, NY

Active since May 10, 2012PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1111 FRANKLIN AVE, GARDEN CITY, NY 11530(516) 663-2051(516) 663-4740 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2026, Mar 26, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Niti Rajpal M.d. NPPES

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

NITI RAJPAL M.D. (NPI 1467711507) is an individual internal medicine provider in Garden City, New York, licensed in New York (280827) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467711507
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNITI RAJPALCredential: M.D.
Location Address1111 FRANKLIN AVEGarden City, NY 11530-1617
Mailing Address222 Station Plz N Ste 310Mineola, NY 11501-3893
Fax(516) 663-4740
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 10, 2012
Last NPPES UpdateApril 9, 20264 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
NPI 1467711507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 280827
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.
Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X · License 280827 (NY)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 280827 (NY)
1111 FRANKLIN AVE, Garden City, NY 11530

Secondary Practice Locations 2

Location 18268 164th StJamaica, NY 11432-1121 · Phone (718) 883-3000
Location 2222 Station Plz N Ste 310Mineola, NY 11501-3893 · Phone (516) 663-2051

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Niti Rajpal 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 ID4688983190
PECOS Enrollment IDI20170412000282
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 8

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.
153 services101 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services55 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
61 services53 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.
50 services50 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
30 services25 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers12 claims33 services$5.26 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$13.94 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
1 supplier15 claims15 services$63.76 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 (Cardiovascular Disease)
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Internal Medicine (Pulmonary Disease)
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Physician Assistant
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Student in an Organized Health Care Education/Training Program
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Nurse Practitioner (Family)
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Dermatology
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Dietitian, Registered
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Podiatrist (Foot & Ankle Surgery)
1111 FRANKLIN AVE
GARDEN CITY, NY 11530

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 Niti Rajpal's NPI number?

The NPI number for Niti Rajpal is 1467711507. It was assigned to this individual provider in the NPPES registry on May 10, 2012.

Where is Niti Rajpal located?

Niti Rajpal practices at 1111 Franklin Ave, Garden City, NY 11530. The listed phone number is (516) 663-2051.

What is Niti Rajpal's specialty?

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

Is Niti Rajpal enrolled in Medicare?

Yes. Niti Rajpal 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 Niti Rajpal affiliated with any hospitals?

According to CMS data, Niti Rajpal is affiliated with North Shore University Hospital and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Niti Rajpal was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.