Niraj Mistry, MD
NPI 1528069952 · Internal Medicine Physician · Elyria, OH
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Niraj Mistry, MD is a Internal Medicine Physician provider in Elyria, OH (NPI 1528069952).
Provider details
- NPI number
- 1528069952
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 35-075487 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 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
1,817 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 536 | $72 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 437 | $71 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 258 | $52 |
| Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More99306 | 160 | $174 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 102 | $103 |
| Administration of Influenza Virus Vaccine |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 265 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 1,657 | 396 |
| Amlodipine Besylate | 985 | 249 |
| Levothyroxine Sodium | 932 | 209 |
| Gabapentin | 701 | 128 |
| Pantoprazole Sodium | 663 | 173 |
| Omeprazole | 633 | 128 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$39 across 2 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
- 2005-08-09
- Last updated
- 2022-10-05
- Certified
- 2022-10-05
Frequently asked questions
- What is Niraj Mistry's NPI number?
- Niraj Mistry's National Provider Identifier (NPI) is 1528069952, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Niraj Mistry's specialty?
- Niraj Mistry is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Niraj Mistry located?
- Niraj Mistry's practice location on file with NPPES is 125 E Broad St, Elyria, OH 44035-6400.
- What is Niraj Mistry's phone number?
- The practice phone number listed in the NPPES registry for Niraj Mistry is (440) 329-7306.
- Does Niraj Mistry accept Medicare?
- Niraj Mistry is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Niraj Mistry's NPI active?
- Yes — Niraj Mistry's NPI (1528069952) is active in the NPPES registry as of the last update on 2022-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.