Niraj Sinha, M.D.
NPI 1275812299 · Pulmonary Disease Physician · Schenectady, NY
Enrolled with Medicare as Practitioner - Critical Care (intensivists) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Niraj Sinha, M.D. is a Pulmonary Disease Physician provider in Schenectady, NY (NPI 1275812299).
Provider details
- NPI number
- 1275812299
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 281637 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,104 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 369 | $112 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 162 | $120 |
| Critical Care, First 30-74 Minutes99291 | 145 | $200 |
| Administration and Interpretation of Patient-Focused Health Risk Assessment96160 | 116 | $3 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 66 | $92 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 53 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 603 | 119 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 350 | 128 |
| Roflumilast | 265 | 59 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 192 | 68 |
| Montelukast Sodium | 153 | 45 |
| Azithromycin | 141 | 64 |
| Fluticasone Propionate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,145 across 88 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-08-08
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Frequently asked questions
- What is Niraj Sinha's NPI number?
- Niraj Sinha's National Provider Identifier (NPI) is 1275812299, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Niraj Sinha's specialty?
- Niraj Sinha is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Niraj Sinha located?
- Niraj Sinha's practice location on file with NPPES is 1101 Nott St # C1, Schenectady, NY 12308-2425.
- What is Niraj Sinha's phone number?
- The practice phone number listed in the NPPES registry for Niraj Sinha is (518) 289-2400.
- Does Niraj Sinha accept Medicare?
- Niraj Sinha is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Niraj Sinha's NPI active?
- Yes — Niraj Sinha's NPI (1275812299) is active in the NPPES registry as of the last update on 2025-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.