Active NPI 1912346024 Individual Practitioner Male Practitioner

Dr. Niraj Badhiwala , MD

Urology • Arlington, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Niraj Badhiwala, MD is a certified Urology practicing in Arlington, TX. With approximately 13 years of clinical experience since graduating from Baylor College Of Medicine in 2013, Dr. Badhiwala delivers high-quality medical care to the local community at 801 W I 20 STE 1.

Dr. Badhiwala is affiliated with Texas Oncology Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

801 W I 20 Ste 1

Arlington, TX 760175851

Telephone 8177848268

Fax 8174171151

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Arlington, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -13.6 yrs vs City Avg

City Avg: 26.6 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

23 Specialists

Practicing in Arlington, TX (1027 Statewide)

Telehealth Adoption Rate

39.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Badhiwala (13 Years) 13 Yrs

Arlington Specialty Average (26.6 Years) 26.6 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	482	300	$345.12	$125.07
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	279	200	$34.87	$15.93
81003 Automated urinalysis test	223	157	$14.51	$2.16
51798 Ultrasound measurement of bladder capacity after voiding	104	90	$88.17	$10.88
52000 Diagnostic exam of bladder and urethra using an endoscope	48	43	$634.73	$234.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	39	$443.57	$177.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$521.00	$161.46
J3490 Unclassified drugs	36	16	$1090.22	$551.66
51741 Electronic assessment of bladder emptying	28	28	$159.82	$5.04
55706 Needle stereotactic and image-guided biopsy of prostate gland	25	25	$1344.00	$371.42
36415 Insertion of needle into vein for collection of blood sample	19	19	$10.00	$8.65
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	17	17	$707.00	$256.87
84153 Psa (prostate specific antigen) measurement, total	17	17	$51.00	$18.02
51797 Insertion of device into abdomen with pressure and urine flow rate study	17	17	$639.00	$147.10
11980 Insertion of hormone pellets beneath the skin	16	16	$311.00	$92.51
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	14	14	$346.00	$13.72
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$234.62	$89.48
87086 Bacterial colony count, urine	13	13	$24.00	$7.91
74420 Imaging of urinary tract	12	12	$61.00	$23.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	409	275	$219.00	$124.94
81003 Automated urinalysis test	292	186	$7.00	$2.19
36415 Insertion of needle into vein for collection of blood sample	111	100	$10.00	$8.26
51798 Ultrasound measurement of bladder capacity after voiding	103	83	$46.00	$10.56
87086 Bacterial colony count, urine	102	70	$24.00	$7.84
84153 Psa (prostate specific antigen) measurement, total	86	81	$51.00	$18.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$334.00	$163.61
87077 Bacterial culture for aerobic isolates	68	38	$24.00	$7.92
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	62	37	$24.00	$8.48
J0696 Injection, ceftriaxone sodium, per 250 mg	60	15	$16.00	$0.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	41	$295.00	$173.19
52000 Diagnostic exam of bladder and urethra using an endoscope	47	44	$469.00	$234.77
87088 Bacterial urine culture	44	26	$23.00	$7.93
99213 Established patient office or other outpatient visit, typically 15 minutes	26	26	$150.00	$89.16
84154 Psa (prostate specific antigen) measurement, free	25	24	$51.00	$18.02
80048 Blood test, basic group of blood chemicals (calcium, total)	16	16	$24.00	$8.29
74420 Imaging of urinary tract	16	12	$67.00	$24.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	15	$54.00	$13.18
55700 Biopsy of prostate gland	14	14	$510.00	$226.42
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$360.00	$54.01
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	11	$1047.71	$370.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	371	266	$219.00	$126.54
81003 Automated urinalysis test	306	218	$7.00	$2.22
51798 Ultrasound measurement of bladder capacity after voiding	182	150	$46.00	$10.54
99213 Established patient office or other outpatient visit, typically 15 minutes	108	99	$150.00	$90.07
36415 Insertion of needle into vein for collection of blood sample	93	86	$10.00	$2.96
87086 Bacterial colony count, urine	74	54	$24.00	$7.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$334.00	$166.28
84153 Psa (prostate specific antigen) measurement, total	70	62	$51.00	$18.15
J0696 Injection, ceftriaxone sodium, per 250 mg	48	12	$16.00	$0.46
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	47	26	$24.00	$8.53
87077 Bacterial culture for aerobic isolates	45	26	$24.00	$7.97
52000 Diagnostic exam of bladder and urethra using an endoscope	35	34	$469.00	$249.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	18	$295.00	$178.84
87088 Bacterial urine culture	20	14	$23.00	$7.99
84403 Testosterone (hormone) level, total	17	15	$71.00	$25.50
55700 Biopsy of prostate gland	15	15	$510.00	$231.93
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	15	$342.87	$53.70
76377 3D radiographic procedure with computerized image postprocessing	14	14	$303.00	$69.02
80048 Blood test, basic group of blood chemicals (calcium, total)	14	12	$24.00	$8.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	13	$54.00	$13.50
74420 Imaging of urinary tract	12	11	$67.00	$22.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	277	233	$150.00	$90.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	174	$219.00	$129.31
81003 Automated urinalysis test	236	171	$7.00	$2.25
51798 Ultrasound measurement of bladder capacity after voiding	177	130	$46.00	$10.41
36415 Insertion of needle into vein for collection of blood sample	117	107	$10.00	$2.98
84153 Psa (prostate specific antigen) measurement, total	92	85	$51.00	$18.39
87086 Bacterial colony count, urine	86	65	$24.00	$8.07
J0696 Injection, ceftriaxone sodium, per 250 mg	56	14	$16.00	$0.52
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	46	33	$24.00	$8.65
52000 Diagnostic exam of bladder and urethra using an endoscope	46	41	$469.00	$237.83
87077 Bacterial culture for aerobic isolates	46	33	$24.00	$8.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$334.00	$170.38
87088 Bacterial urine culture	36	27	$23.00	$8.09
84403 Testosterone (hormone) level, total	26	20	$71.00	$25.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	19	$295.00	$164.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	11	$80.00	$38.39
82670 Measurement of total estradiol (hormone)	16	13	$77.00	$27.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	16	16	$22.00	$7.77
55700 Biopsy of prostate gland	14	14	$510.00	$243.75
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$360.00	$53.91
81002 Urinalysis, manual test	13	13	$7.00	$3.48
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	13	13	$30.00	$14.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	13	$54.00	$14.44
51741 Electronic assessment of bladder emptying	11	11	$167.00	$8.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	241	187	$150.00	$74.81
36415 Insertion of needle into vein for collection of blood sample	190	176	$10.00	$2.98
84153 Psa (prostate specific antigen) measurement, total	162	150	$51.00	$18.26
81003 Automated urinalysis test	131	107	$7.00	$2.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	100	$219.00	$105.43
87086 Bacterial colony count, urine	100	81	$24.00	$8.00
51798 Ultrasound measurement of bladder capacity after voiding	87	75	$46.00	$10.27
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	47	33	$24.00	$8.58
87077 Bacterial culture for aerobic isolates	47	33	$24.00	$8.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$334.85	$164.95
52000 Diagnostic exam of bladder and urethra using an endoscope	43	35	$469.00	$202.54
81002 Urinalysis, manual test	42	40	$7.00	$3.39
84403 Testosterone (hormone) level, total	34	31	$71.00	$25.64
84154 Psa (prostate specific antigen) measurement, free	27	26	$51.00	$18.27
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	21	20	$30.00	$14.16
82670 Measurement of total estradiol (hormone)	21	19	$77.00	$27.78
99442 Telephone medical discussion with physician, 11-20 minutes	19	19	$57.89	$55.59
87088 Bacterial urine culture	19	15	$23.00	$8.09
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	18	18	$22.00	$7.75
80053 Blood test, comprehensive group of blood chemicals	12	12	$29.00	$10.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	301	230	$150.00	$72.85
81003 Automated urinalysis test	252	179	$7.00	$2.44
87086 Bacterial colony count, urine	162	112	$24.00	$8.79
36415 Insertion of needle into vein for collection of blood sample	151	140	$10.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	140	129	$51.00	$20.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	95	$219.00	$106.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$334.34	$161.64
51798 Ultrasound measurement of bladder capacity after voiding	111	90	$46.00	$12.56
81002 Urinalysis, manual test	82	72	$7.00	$3.41
87077 Bacterial culture for aerobic isolates	77	48	$24.00	$8.79
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	71	45	$24.00	$9.42
52000 Diagnostic exam of bladder and urethra using an endoscope	49	48	$469.00	$183.50
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	37	14	$44.00	$22.43
51702 Simple insertion of temporary bladder tube	26	14	$199.00	$61.69
84403 Testosterone (hormone) level, total	26	26	$71.00	$27.73
51741 Electronic assessment of bladder emptying	24	23	$167.00	$14.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$280.00	$135.13
74420 Imaging of urinary tract	20	18	$67.00	$25.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	12	$147.00	$71.87
82670 Measurement of total estradiol (hormone)	19	19	$77.00	$30.42
84154 Psa (prostate specific antigen) measurement, free	16	16	$51.00	$20.03
85014 Red blood cell concentration measurement	14	14	$7.00	$2.58
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$908.50	$419.75
51700 Simple bladder irrigation and/or instillation	14	11	$194.00	$70.95
84270 Sex hormone binding globulin (protein) level	14	14	$60.00	$23.67
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$360.00	$56.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$220.00	$107.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	66	57	$7.00	$2.71
99213 Established patient office or other outpatient visit, typically 15 minutes	59	49	$150.00	$72.08
87086 Bacterial colony count, urine	47	42	$24.00	$9.76
81002 Urinalysis, manual test	23	23	$7.00	$3.41
51798 Ultrasound measurement of bladder capacity after voiding	22	18	$46.00	$15.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$334.00	$162.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$220.00	$106.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$219.00	$106.45
87077 Bacterial culture for aerobic isolates	13	11	$24.00	$9.77
84153 Psa (prostate specific antigen) measurement, total	12	12	$51.00	$22.26
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	12	11	$24.00	$10.46
36415 Insertion of needle into vein for collection of blood sample	12	12	$10.00	$2.94

Medical Specialties & State Licenses

CMS Verified: 2021-06-15

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License TX R6335

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Surgery

NUCC Taxonomy Code: 208600000X

State License MO 2013020258

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

387302803 (TX)

Medicaid State Provider ID

387302801 (TX)

Medicaid State Provider ID

387302802 (TX)

Hospital & Practice Group Affiliations

Texas Oncology Pa

6500 Harris Pkwy, Ft Worth, TX 761324136

Phone: 8172632600

Secondary Practice Locations

660 S Euclid Ave # 8109, Dept Of Surgery, Washington University School Of Med

Saint Louis, MO 631101010

Phone: 4693633891

309 Regency Pkwy Ste 103

Mansfield, TX 760635165

Phone: 8177848268

6750 N Macarthur Blvd Ste 150

Irving, TX 750392831

Phone: 9723730303

Practice Associates & Co-Workers

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

31 Associated Practitioners

Dr. Richard Scriven , MD

Urology

NPI 1003802703

Doctor of Medicine (M.D.)

Dr. Andrew Sambell , MD

Urology

NPI 1003996380

Doctor of Medicine (M.D.)

Dr. Michael Walter , MD

Urology

NPI 1023056165

Doctor of Medicine (M.D.)

Michelle Mccall , PA

Physician Assistant

NPI 1144708827

Physician Assistant

Dr. Julia Willingham , MD

Urology

NPI 1154765147

Doctor of Medicine (M.D.)

Dr. Parth Shah , MD

Urology

NPI 1184037590

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location June 24, 2021

Registered at 801 W I 20 STE 1, ARLINGTON, TX 760175851 (Tel: 8177848268)

📍

Updated Business Mailing Address June 24, 2021

Registered at 801 W I 20 STE 1, ARLINGTON, TX 760175851 (Tel: 8177848268)

📍

Updated Practice Location August 31, 2018

Registered at 309 REGENCY PKWY STE 103, MANSFIELD, TX 760635165 (Tel: 8177848268)

📍

Updated Business Mailing Address August 31, 2018

Registered at 309 REGENCY PKWY STE 103, MANSFIELD, TX 760635165 (Tel: 8177848268)

✅

NPI Profile Active June 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 21, 2013

Registered at 660 S EUCLID AVE # 8109, DEPT OF SURGERY, WASHINGTON UNIVERSITY SCHOOL OF MED, SAINT LOUIS, MO 631101010 (Tel: 4693633891)

📍

Updated Business Mailing Address June 21, 2013

Registered at 660 S EUCLID AVE # 8109, DEPT OF SURGERY, WASHINGTON UNIVERSITY SCHOOL OF MED, SAINT LOUIS, MO 631101010 (Tel: 4693633891)

👤

Provider Name / Credentials Updated June 21, 2013

Recorded as NIRAJ BADHIWALA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2013

Surgery (License #2013020258 in MO)

🟢

Initial NPI Registration & Enumeration June 21, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1912346024

Entity Type:

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

Enumeration Date: June 21, 2013

Last Update: June 24, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 W I 20 Ste 1

Arlington, TX 760175851

Phone: 8177848268

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.