DR. NIRAJ JANI (MD) – Gastroenterology Physician, NPI 1386673671
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
937 HOSPITALIST in MD
Provider Addresses for DR. NIRAJ JANI (MD)
16403 Old Emmitsburg Rd
Emmitsburg, MD 217278929
Phone: (240) 215-6310
Type: Location
141 Thomas Johnson Dr
Frederick, MD 217024502
Phone: (301) 846-0100
Type: Location
194 Thomas Johnson Dr
Frederick, MD 217024679
Phone: (240) 215-6310
Type: Location
501 W 7th St
Frederick, MD 217014586
Phone: (240) 215-6310
Type: Location
33663 Bayview Medical Dr Unit 2
Lewes, DE 199581663
Phone: (302) 645-9325
Fax: (302) 644-7162
Type: Location
9981 S Healthpark Dr
Fort Myers, FL 339083618
Phone: (239) 343-6202
Fax: (239) 343-4159
Type: Location
6565 N Charles St
PPE, Suite 512
Baltimore, MD 212046800
Phone: (410) 601-5392
Fax: (410) 601-5757
Type: Location
1194 Dutchmans Creek Dr
Brunswick, MD 217169786
Phone: (240) 215-6310
Type: Location
75 Thomas Johnson Dr
Frederick, MD 217024895
Phone: (240) 215-6310
Type: Location
1562 Opossumtown Pike
Frederick, MD 217024920
Phone: (240) 215-6310
Type: Location
400 W 7th St
Frederick, MD 217014506
Phone: (240) 215-6310
Type: Location
7211 Bank Ct
Frederick, MD 217038483
Phone: (240) 215-6310
Type: Location
3430 Worthington Blvd
Frederick, MD 217047017
Phone: (240) 215-6310
Type: Location
1 Frederick Health Way
Frederick, MD 217019435
Phone: (240) 215-6310
Type: Location
504 E Ridgeville Blvd
Mount Airy, MD 217715942
Phone: (240) 215-6310
Type: Location
3000D Ventrie Ct
Myersville, MD 217737817
Phone: (240) 215-6310
Type: Location
15 E Frederick St
Walkersville, MD 217938234
Phone: (240) 215-6310
Type: Location
North Charles Street, Wyman Park, Baltimore, Maryland, 21211, United States
PPE, SUITE 512
BALTIMORE, MD 212046800
Phone: (410) 601-5392
Fax: (410) 601-5757
Type: Location
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
BOSTON, MA 022418953
Phone: (410) 601-5524
Fax: (410) 601-8946
Type: Mailing
PO BOX 2147
FORT MYERS, FL 339022147
Phone: (239) 343-6202
Fax: (239) 343-4159
Type: Mailing
1925 PACIFIC AVE
ATLANTIC CITY, NJ 084016713
Phone: (609) 652-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 441 Open Payments records for all available years, with a total value of $95,927.
Total Amount is formed as General ($95,927) + Research ($0) + Ownership ($0) = $95,927.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($51,351).
Total Amount
$95,927
General + Research + Ownership
Payments
441
Total payment records
General Amount
$95,927
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phathom Pharmaceuticals, Inc. | $51,351 |
| ABBVIE INC. | $23,725 |
| NESTLE HEALTHCARE NUTRITION INC. | $6,805 |
| AIMMUNE THERAPEUTICS, INC. | $6,535 |
| Medtronic, Inc. | $1,127 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-05-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070829000399 | I | Gastroenterology | MD | TBD |
| I20240129001054 | I | Gastroenterology | VA | TBD |
| I20240401000966 | I | Gastroenterology | MA | TBD |
| I20250312002940 | I | Hospitalist | FL | TBD |
| I20250324001040 | I | Gastroenterology | DE | TBD |
| I20250501000782 | I | Gastroenterology | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 342 | 276 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 185 | 148 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 152 | 152 | $0 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 133 | 133 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 114 | 114 | $0 |
Insurance plans in this area (ZIP 21727)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | MD | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 87 | 87 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NJ | |
| Vascular Surgery | NJ | |
| Pulmonary Disease, Sleep Medicine, Critical Care (Intensivists) | NJ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Family Practice | NJ | |
| Physician Assistant | NJ | |
| - | NJ | |
| Internal Medicine, Gastroenterology | NJ | |
| Family Practice | NJ | |
| P S Y C H I A T R Y | NJ |
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