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NIRAJAN ADHIKARI M.D.
NPI 1952890071
Internal Medicine in Sayre, PA

Active since May 03, 2018PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
ONE GUTHRIE SQUARE, SAYRE, PA 18840(570) 887-4559 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 21, 2026, Feb 26, 2021, Feb 4, 2019 and 1 more (4 updates tracked since 2018).

About Nirajan Adhikari M.d. NPPES

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

NIRAJAN ADHIKARI M.D. (NPI 1952890071) is an individual internal medicine provider in Sayre, Pennsylvania, licensed in Pennsylvania (MD474902) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and maintains a secondary practice location in Sayre.

NPPES Registry Identity

NPI1952890071
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNIRAJAN ADHIKARICredential: M.D.
Location AddressONE GUTHRIE SQUARESayre, PA 18840
Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (570) 888-5858
Phone(570) 887-4559
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 3, 2018
Last NPPES UpdateJune 3, 20224 updates tracked since enumeration
NPPES CertifiedJune 3, 2022
✔ NPI 1952890071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD474902
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
ONE GUTHRIE SQUARE, Sayre, PA 18840
Open in Google Maps ↗

Secondary Practice Location 1

Location 1One Guthrie SquareSayre, PA 18840 · Phone (570) 887-4559

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

Nirajan Adhikari 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 ID3476802406
PECOS Enrollment IDI20251120001721
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.

Hospital Affiliations CMS Care Compare 2

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18840 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$17.27 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
3 suppliers26 claims26 services$104.89 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.

TANVI WADHWA
Student in an Organized Health Care Education/Training Program
ONE GUTHRIE SQUARE, GUTHRIE/ROBERT PACKER HOSPITAL
SAYRE, PA 18840
Bradford County (570) 888-6666
AYESHA ANWAR MD
Student in an Organized Health Care Education/Training Program
ONE GUTHRIE SQUARE, GUTHRIE/ROBERT PACKER HOSPITAL
SAYRE, PA 18840
Bradford County (570) 888-6666
ASHRAF ULLAH
Student in an Organized Health Care Education/Training Program
ONE GUTHRIE SQUARE, GRADUATE MEDICAL EDUCATION, GUTHRIE/ROBERT PACKER HOSPI
SAYRE, PA 18840
Bradford County (570) 888-6666
MR. SOHAIB KHAN SHABIH M.D
Student in an Organized Health Care Education/Training Program
ONE GUTHRIE SQUARE, ROBERT PACKER HOSPITAL
SAYRE, PA 18840
Bradford County (570) 888-6666
DR. MARK C BRISTOL M.D.
Emergency Medicine
ONE GUTHRIE SQUARE, GUTHRIE / ROBERT PACKER HOSPITAL
SAYRE, PA 18840
Bradford County (570) 887-3585
MAHEEN ANWAR MBBS
Student in an Organized Health Care Education/Training Program
ONE GUTHRIE SQUARE, GUTHRIE/ROBERT PACKER HOSPITAL
SAYRE, PA 18840
Bradford County (570) 888-6666
SHANNON MARIE NOBLES
Nurse Practitioner (Psychiatric/Mental Health)
ONE GUTHRIE SQUARE, ROBERT PACKER HOSPITAL
SAYRE, PA 18840
Bradford County (570) 888-6666
MRS. SUCHETHA MOOTHAT JAGAN M.D
Hospitalist
ONE GUTHRIE SQUARE, GRADUATE MEDICAL EDUCATION GUTHRIE
SAYRE, PA 18840
Bradford County (570) 888-6666

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 Nirajan Adhikari's NPI number?

The NPI number for Nirajan Adhikari is 1952890071. It was assigned to this individual provider in the NPPES registry on May 3, 2018.

Where is Nirajan Adhikari located?

Nirajan Adhikari practices at One Guthrie Square, Sayre, PA 18840. The listed phone number is (570) 887-4559.

What is Nirajan Adhikari's specialty?

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

Is Nirajan Adhikari enrolled in Medicare?

Yes. Nirajan Adhikari 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 Nirajan Adhikari affiliated with any hospitals?

According to CMS data, Nirajan Adhikari is affiliated with Carilion Medical Center and Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Nirajan Adhikari was last updated on June 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.