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DR. NIRAJ HIRO PAHLAJANI M.D.
NPI 1730332693
Radiology - Radiation Oncology in Austin, TX

Active since October 23, 2008PECOS EnrolledAccepts Medicare Assignment
89.8/100
CMS Quality Rating
1020 W 34TH ST, AUSTIN, TX 78705(512) 687-1950(512) 687-1490 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 22, 2025, May 8, 2025, Jan 13, 2022 and 1 more (4 updates tracked since 2020).

About Dr. Niraj Hiro Pahlajani M.d. NPPES

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

DR. NIRAJ HIRO PAHLAJANI M.D. (NPI 1730332693) is an individual radiation oncology provider in Austin, Texas, licensed in Missouri (2026012924) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Javon Bea Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1730332693
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDR. NIRAJ HIRO PAHLAJANICredential: M.D.
Location Address1020 W 34TH STAustin, TX 78705-2009
Mailing Address8240 N Mopac Expy Ste 100Austin, TX 78759-8869 · (510) 687-1970 · Fax (512) 407-9010
Phone(512) 687-1950
Fax(512) 687-1490
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 23, 2008
Last NPPES UpdateJune 10, 20264 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1730332693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Licenses✔ Licensed in MO · 2026012924✔ Licensed in FL · ME112837✔ Licensed in TX · Q6455✔ Licensed in NJ · 25MA08542600✔ Licensed in WI · 13523-320
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X · License MD432991 (PA)
1020 W 34TH ST, Austin, TX 78705
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1N2950 State Road 67Lake Geneva, WI 53147-2655 · Phone (262) 245-0535 · Fax (262) 245-2248
Location 21201 S Grand BlvdSaint Louis, MO 63104-1016 · Phone (314) 617-2000
Location 31000 Mineral Point AveJanesville, WI 53548-2982 · Phone (608) 756-6868 · Fax (608) 756-6289

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Arizona and more.Insurance ›

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

Dr. Niraj Hiro Pahlajani 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 ID3375697253
PECOS Enrollment IDI20250604001545, I20260218002413, I20260505000202
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 Reassignments

4

Medicare enrollment records show Niraj Pahlajani reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Texas Oncology And Hematology, PLLC
74 mi
Hematology & Oncology
4383 MEDICAL DRIVE
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 51 clinicians in this Medicare group
NPI 1770664542 (210) 593-2575
Ssm Health Care Group
715 mi
Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group
NPI 1306589544 (314) 977-6100
Rockford Health Physicians
956 mi
Anesthesiology
2400 N ROCKTON AVE
Rockford, IL 61103
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1023275278 (815) 971-5000
Mercy Health System Corporation
980 mi
Multi-Specialty
580 N WASHINGTON ST
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,155 clinicians in this Medicare group
NPI 1598718603 (608) 741-7630

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

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.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
187 services22 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
70 services34 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
55 services17 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
49 services18 patients
Continuing radiation therapy consultation per week 77336
Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.
46 services13 patients
Complex radiation therapy planning 77263
Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.
20 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Mercy Walworth Hospital & Medical Center

Critical Access Hospitals · Lake Geneva, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521357
LocationN2950 State Road 67Lake Geneva, WI 53147 · Walworth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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
$174.00 typical visit price
range $57.88 – $174.00
Typical copayment $43.50 (range $14.47 – $43.50)
Most-billed visit code 99205
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

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.

89.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability88
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

UROLOGY AUSTIN PLLC
Urology
1020 W 34TH ST
AUSTIN, TX 78705
Travis County (512) 687-1950
RICHARD PROCTOR GARZA MD
Radiology (Radiation Oncology)
1020 W 34TH ST
AUSTIN, TX 78705
Travis County (512) 687-1950
JAY ALLEN MILTON MESSER MD
Radiology (Radiation Oncology)
1020 W 34TH ST
AUSTIN, TX 78705
Travis County (512) 687-1950

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 Pahlajani's NPI number?

The NPI number for Niraj Pahlajani is 1730332693. It was assigned to this individual provider in the NPPES registry on October 23, 2008.

Where is Niraj Pahlajani located?

Niraj Pahlajani practices at 1020 W 34th St, Austin, TX 78705. The listed phone number is (512) 687-1950.

What is Niraj Pahlajani's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Niraj Pahlajani enrolled in Medicare?

Yes. Niraj Pahlajani 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 organizations bill Medicare for Niraj Pahlajani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niraj Pahlajani reassigns Medicare benefits to 4 organizations: South Texas Oncology And Hematology, PLLC (San Antonio, TX), Ssm Health Care Group (Saint Louis, MO), Rockford Health Physicians (Rockford, IL) and Mercy Health System Corporation (Janesville, WI). Each 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 Pahlajani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Niraj Pahlajani accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, Medica and Oscar Insurance Company list Niraj Pahlajani 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 Niraj Pahlajani affiliated with any hospitals?

According to CMS data, Niraj Pahlajani is affiliated with Javon Bea Hospital, Ssm Health St Mary's Hospital - St Louis, Mercy Health System Corp and Mercy Walworth Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Niraj Pahlajani was last updated on June 10, 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.