DR. NIRAJ BADHIWALA M.D.
NPI 1912346024
Urology in Arlington, TX

Q: What is Niraj Badhiwala's NPI number?

The NPI number for Niraj Badhiwala is 1912346024. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Q: What is Niraj Badhiwala's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Niraj Badhiwala was last updated on June 24, 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.

Active since June 21, 2013PECOS EnrolledAccepts Medicare Assignment

801 W I 20 STE 1, ARLINGTON, TX 76017(817) 784-8268(817) 417-1151 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 24, 2021, Oct 18, 2019, Aug 31, 2018 (3 updates tracked since 2018).

On this page

About Dr. Niraj Badhiwala M.d. NPPES

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

DR. NIRAJ BADHIWALA M.D. (NPI 1912346024) is an individual urology provider in Arlington, Texas, licensed in Texas (R6335) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with U S M D Hospital At Arlington L P, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1912346024

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. NIRAJ BADHIWALACredential: M.D.

Location Address801 W I 20 STE 1Arlington, TX 76017-5851

Mailing Address801 W I 20 Ste 1Arlington, TX 76017-5851 · (817) 784-8268 · Fax (817) 417-1151

Phone(817) 784-8268

Fax(817) 417-1151

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2013

Enumeration DateJune 21, 2013

Last NPPES UpdateJune 24, 20213 updates tracked since enumeration

NPPES CertifiedJune 15, 2021

✔ NPI 1912346024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in TX · R6335

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedSurgeryTaxonomy 208600000X · License 2013020258 (MO)

801 W I 20 STE 1, Arlington, TX 76017

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1660 S Euclid Ave # 8109, Dept of Surgery, Washington University School of MedSaint Louis, MO 63110-1010 · Phone (469) 363-3891 · Fax (314) 747-1288

Location 2309 Regency Pkwy Ste 103Mansfield, TX 76063-5165 · Phone (817) 784-8268

Location 36750 N MacArthur Blvd Ste 150Irving, TX 75039-2831 · Phone (972) 373-0303 · Fax (972) 373-8074

Other Identifiers 3

Medicaid387302801TX

Medicaid387302802TX

Medicaid387302803TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 Badhiwala 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 ID9638425341

PECOS Enrollment IDI20180711002219

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

Medicare enrollment records show Niraj Badhiwala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Clinic Of North Texas, PLLC

3.4 mi

Internal Medicine

4401 PARK SPRINGS BLVD STE 100
Arlington, TX 76017

Reassigned Medicare billing, Texas enrollment
379 clinicians in this Medicare group

NPI 1033167234 (817) 807-9060

Texas Oncology PA

18 mi

Medical Oncology

6500 HARRIS PKWY
Fort Worth, TX 76132

Reassigned Medicare billing, Texas enrollment
1,054 clinicians in this Medicare group

NPI 1033386578 (972) 997-8000

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 18

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.

482 services300 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

223 services157 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

104 services90 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

48 services43 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

46 services39 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

42 services42 patients

Unclassified drugs J3490

Unclassified drugs are medications that don't fit into an existing category or class due to their unique properties or uses. They may be used for various conditions and their effects may differ widely. Always ask your healthcare provider for more information about these drugs.

36 services16 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

28 services28 patients

Needle biopsy of prostate gland using image guidance 55706

A needle biopsy of the prostate gland using image guidance is a procedure where a small sample of tissue is collected for testing. This is done with the help of images to ensure precision. It helps doctors diagnose and treat potential health issues.

25 services25 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.

19 services19 patients

Complex measurement of pressure of urine flow in bladder with voiding pressure studies 51728

This procedure measures the pressure in your bladder as it fills and empties. It helps to understand how well your bladder is functioning. Sensors record pressure levels during these processes, providing valuable data for your doctor.

17 services17 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

17 services17 patients

Psa (prostate specific antigen) measurement, total 84153

PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.

17 services17 patients

Placement of hormone pellet under skin 11980

The placement of a hormone pellet under the skin is a simple procedure. A small pellet is inserted under the skin, usually in the hip area. This pellet slowly releases hormones into your body to help balance hormone levels. It's a safe, effective way to manage hormone-related conditions.

16 services16 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

14 services14 patients

Bacterial colony count, urine 87086

A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).

13 services13 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.

13 services13 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

U S M D Hospital At Arlington L P

Acute Care Hospitals · Arlington, TX

OwnershipPhysician

CMS Certification Number450872

Location801 W Interstate 20Arlington, TX 76017 · Tarrant County

Emergency services

Baylor Surgical Hospital At Las Colinas

Acute Care Hospitals · Irving, TX

OwnershipProprietary

CMS Certification Number450874

Location400 West Lyndon B Johnson Suite 101BIrving, TX 75063 · Dallas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76017 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

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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.

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.

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

4 suppliers40 claims5,865 services$0.11 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

5 suppliers45 claims9,345 services$1.70 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

2 suppliers19 claims2,670 services$6.03 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

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

DAVID L SHEPHERD MD

Urology

801 W I 20 STE 1
ARLINGTON, TX 76017

Tarrant County (817) 784-8268

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 Badhiwala's NPI number?

The NPI number for Niraj Badhiwala is 1912346024. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Where is Niraj Badhiwala located?

Niraj Badhiwala practices at 801 W I 20 Ste 1, Arlington, TX 76017. The listed phone number is (817) 784-8268.

What is Niraj Badhiwala's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Niraj Badhiwala enrolled in Medicare?

Yes. Niraj Badhiwala 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 Badhiwala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niraj Badhiwala reassigns Medicare benefits to 2 organizations: Medical Clinic Of North Texas, PLLC (Arlington, TX) and Texas Oncology PA (Fort Worth, TX). 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 Badhiwala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Niraj Badhiwala accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 9 other insurers list Niraj Badhiwala 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 Badhiwala affiliated with any hospitals?

According to CMS data, Niraj Badhiwala is affiliated with U S M D Hospital At Arlington L P and Baylor Surgical Hospital At Las Colinas.

When was this NPI record last updated?

The NPPES record for Niraj Badhiwala was last updated on June 24, 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.