Shanmuga Priya Niragulathan, M.D
NPI 1467893859 · Internal Medicine Physician · Scranton, PA
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shanmuga Priya Niragulathan, M.D is a Internal Medicine Physician provider in Scranton, PA (NPI 1467893859).
Provider details
- NPI number
- 1467893859
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT203145 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
913 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 35 Minutes99232 | 352 | $84 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 252 | $127 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 150 | $185 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 125 | $124 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 19 | $139 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 15 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 20 | 18 |
| Cephalexin | 14 | 14 |
| Pantoprazole Sodium | 12 | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-07-12
- Last updated
- 2013-07-12
Frequently asked questions
- What is Shanmuga Priya Niragulathan's NPI number?
- Shanmuga Priya Niragulathan's National Provider Identifier (NPI) is 1467893859, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shanmuga Priya Niragulathan's specialty?
- Shanmuga Priya Niragulathan is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shanmuga Priya Niragulathan located?
- Shanmuga Priya Niragulathan's practice location on file with NPPES is 501 Madison Ave, Scranton, PA 18510-2401.
- What is Shanmuga Priya Niragulathan's phone number?
- The practice phone number listed in the NPPES registry for Shanmuga Priya Niragulathan is (570) 343-2383.
- Does Shanmuga Priya Niragulathan accept Medicare?
- Shanmuga Priya Niragulathan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shanmuga Priya Niragulathan's NPI active?
- Yes — Shanmuga Priya Niragulathan's NPI (1467893859) is active in the NPPES registry as of the last update on 2013-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.