Abesh Niroula, M.D.
NPI 1871856468 · Pulmonary Disease Physician · Atlanta, GA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Abesh Niroula, M.D. is a Pulmonary Disease Physician provider in Atlanta, GA (NPI 1871856468).
Provider details
- NPI number
- 1871856468
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MT200765 (PA)
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
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
337 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 52 | $207 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 45 | $167 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 37 | $164 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 29 | $116 |
| Irrigation and Suction of Lung Airways to Obtain Cells Using an Endoscope31624 | 26 | $28 |
| Ultrasound Scan of Chest76604 | 25 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 90 | 27 |
| Tiotropium Bromidebrand: Spiriva Respimat | 39 | 12 |
| Fluticasone Propion/Salmeterolbrand: Advair Hfa | 38 | — |
| Montelukast Sodium | 20 | — |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 19 | — |
| Budesonide/Formoterol Fumaratebrand: Symbicort | 18 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$659 across 6 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
Additional practice locations (2)
- 902 N 7th StCordele, GA 31015-3234Phone: (229) 276-3100
- 5501 Old York RdPhiladelphia, PA 19141-3018Phone: (215) 456-7943Fax: (215) 456-3429
Registry dates
- Enumerated
- 2012-06-19
- Last updated
- 2021-04-29
- Certified
- 2021-04-29
Frequently asked questions
- What is Abesh Niroula's NPI number?
- Abesh Niroula's National Provider Identifier (NPI) is 1871856468, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Abesh Niroula's specialty?
- Abesh Niroula is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Abesh Niroula located?
- Abesh Niroula's practice location on file with NPPES is 1364 Clifton Rd Ne, Atlanta, GA 30322-1064.
- What is Abesh Niroula's phone number?
- The practice phone number listed in the NPPES registry for Abesh Niroula is (404) 727-9650.
- Does Abesh Niroula accept Medicare?
- Abesh Niroula is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Abesh Niroula's NPI active?
- Yes — Abesh Niroula's NPI (1871856468) is active in the NPPES registry as of the last update on 2021-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.