Active NPI 1467893859 Individual Practitioner Female Practitioner

Dr. Shanmuga Priya Niragulathan , MD

Internal Medicine • Scranton, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shanmuga Priya Niragulathan, MD is a certified Internal Medicine practicing in Scranton, PA. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Niragulathan delivers high-quality medical care to the local community at 501 MADISON AVE.

Dr. Niragulathan is affiliated with Northbay Physicians Surgery Center, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

501 Madison Ave

Scranton, PA 185102401

Telephone 5703432383

Associated Practice Facility / Clinic

🏢 Scranton Temple Residency Program Faculty Services Facility NPI 1932195492

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Scranton, PA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -3.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

135 Specialists

Practicing in Scranton, PA (7609 Statewide)

Telehealth Adoption Rate

16.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Niragulathan (19 Years) 19 Yrs

Scranton Specialty Average (22.5 Years) 22.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	352	168	$206.48	$84.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	252	150	$294.57	$126.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	150	145	$568.48	$185.18
99239 Hospital discharge day management, more than 30 minutes	125	123	$307.67	$124.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$390.31	$139.46
99238 Hospital discharge day management, 30 minutes or less	15	15	$216.12	$88.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	445	185	$202.73	$84.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	434	216	$291.55	$126.45
99239 Hospital discharge day management, more than 30 minutes	145	140	$303.52	$123.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	68	65	$564.77	$184.89
99238 Hospital discharge day management, 30 minutes or less	16	16	$204.19	$87.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	497	213	$292.14	$108.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	260	128	$203.06	$75.28
99239 Hospital discharge day management, more than 30 minutes	91	89	$303.52	$112.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	54	$575.23	$209.62
99220 Hospital observation care, typically 70 minutes	34	34	$515.40	$188.88
99217 Hospital observation care on day of discharge	16	16	$205.63	$76.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	654	222	$544.51	$110.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	192	97	$229.75	$76.66
99239 Hospital discharge day management, more than 30 minutes	119	113	$504.61	$114.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99	95	$1227.44	$213.65
99220 Hospital observation care, typically 70 minutes	42	42	$1165.86	$189.81
99217 Hospital observation care on day of discharge	17	17	$352.40	$78.01
99226 Subsequent observation care, typically 35 minutes per day	14	12	$551.82	$110.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	617	216	$741.10	$113.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	147	61	$512.49	$79.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	124	122	$1439.50	$220.03
99239 Hospital discharge day management, more than 30 minutes	118	118	$763.71	$118.41
99220 Hospital observation care, typically 70 minutes	115	111	$1318.91	$200.86
99226 Subsequent observation care, typically 35 minutes per day	31	20	$746.13	$114.17
99217 Hospital observation care on day of discharge	25	25	$517.52	$80.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	793	307	$741.10	$112.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	313	126	$512.49	$78.81
99239 Hospital discharge day management, more than 30 minutes	153	149	$763.71	$117.91
99220 Hospital observation care, typically 70 minutes	66	63	$1318.91	$201.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	45	$1439.50	$219.15
99217 Hospital observation care on day of discharge	42	42	$517.52	$80.38
99238 Hospital discharge day management, 30 minutes or less	21	21	$515.00	$77.14
99226 Subsequent observation care, typically 35 minutes per day	19	18	$746.13	$113.79
99497 Advance care planning, first 30 minutes	18	18	$521.71	$86.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	821	287	$741.10	$113.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	199	82	$512.49	$78.93
99220 Hospital observation care, typically 70 minutes	129	126	$1318.91	$202.12
99239 Hospital discharge day management, more than 30 minutes	108	106	$763.71	$118.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	67	66	$1439.50	$219.74
99238 Hospital discharge day management, 30 minutes or less	53	53	$515.00	$79.11
99217 Hospital observation care on day of discharge	40	40	$517.52	$80.54
99226 Subsequent observation care, typically 35 minutes per day	33	25	$746.13	$114.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	682	271	$735.94	$112.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	424	158	$509.38	$78.23
99239 Hospital discharge day management, more than 30 minutes	128	124	$757.91	$118.11
99220 Hospital observation care, typically 70 minutes	71	70	$1311.58	$202.04
99217 Hospital observation care on day of discharge	70	69	$514.64	$80.28
99226 Subsequent observation care, typically 35 minutes per day	50	45	$743.57	$114.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	46	$1433.96	$219.88
99238 Hospital discharge day management, 30 minutes or less	16	16	$511.75	$80.13

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MT203145

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Northbay Physicians Surgery Center, Llc

1200 B Gale Wilson Blvd, Fairfield, CA 945333552

Phone: 7074293600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Doctor of Medicine (M.D.)

Dr. Douglas Fisher , DO

Student in an Organized Health Care Education/Training Program

NPI 1003668666

Doctor of Osteopathic Medicine (D.O.)

Dr. Tasneem Fatima , MD

Student in an Organized Health Care Education/Training Program

NPI 1003759895

Doctor of Medicine (M.D.)

Aidana Mustafa

Student in an Organized Health Care Education/Training Program

NPI 1013706878

Dr. Meharchand Oad , DO

Student in an Organized Health Care Education/Training Program

NPI 1023558046

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 12, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 12, 2013

Registered at 501 MADISON AVE, SCRANTON, PA 185102401 (Tel: 5703432383)

📍

Updated Business Mailing Address July 12, 2013

Registered at 605 TALL TREES DR, SCRANTON, PA 185052244 (Tel: 5709034280)

👤

Provider Name / Credentials Updated July 12, 2013

Recorded as SHANMUGA PRIYA NIRAGULATHAN, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2013

Internal Medicine (License #MT203145 in PA)

🟢

Initial NPI Registration & Enumeration July 12, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467893859

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 12, 2013

Last Update: July 12, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

605 Tall Trees Dr

Scranton, PA 185052244

Phone: 5709034280

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.