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Provider profile

Niraj NiraulaMD

Internal Medicine, Pulmonary Disease

NPI 1215223722
4694 Belmont Ave, Youngstown, OH 44505330-480-4080

2027 Medicare Advantage

Check your plan

Medicare Advantage plans for Mahoning County, OH.

Checked Oct 24, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 86 Medicare Advantage plans we show for Mahoning County, OH in 2027

  • 52 list Niraj
  • 34 not listed

Anthem Blue Cross and Blue Shield

11 plans list Niraj.

11plans

  • Anthem Extra Help (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 1001 Covington St, Youngstown, OH, 44510
    • 960 Windham Ct, Boardman, OH, 44512
    • 1950 Niles Cortland Rd NE, Warren, OH, 44484
    • 1421 E Market St, Warren, OH, 44483

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH3655-041-000Medicare.gov
    $0a month

  • Anthem Medicare Advantage (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 1001 Covington St, Youngstown, OH, 44510
    • 960 Windham Ct, Boardman, OH, 44512
    • 1950 Niles Cortland Rd NE, Warren, OH, 44484
    • 1421 E Market St, Warren, OH, 44483

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH3655-045-004Medicare.gov
    $0a month

  • Anthem Veteran (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 1001 Covington St, Youngstown, OH, 44510
    • 960 Windham Ct, Boardman, OH, 44512
    • 1950 Niles Cortland Rd NE, Warren, OH, 44484
    • 1421 E Market St, Warren, OH, 44483

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4.5 starsH4036-022-000Medicare.gov
    $0a month

  • Anthem Veteran (Regional PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 1001 Covington St, Youngstown, OH, 44510
    • 960 Windham Ct, Boardman, OH, 44512
    • 1950 Niles Cortland Rd NE, Warren, OH, 44484
    • 1421 E Market St, Warren, OH, 44483

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3.5 starsR5941-013-000Medicare.gov
    $0a month

Devoted

11 plans list Niraj.

11plans

  • DEVOTED CHOICE 001 OH (PPO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 1421 E Market St, Warren, OH, 44483
    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 1950 Niles Cortland Rd NE Ste 10, Warren, OH, 44484
    • 1001 Covington St, Youngstown, OH, 44510
    • 960 Windham Ct Ste 1, Youngstown, OH, 44512

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH2526-001-000Medicare.gov
    $0a month

  • DEVOTED CHOICE 003 OH (PPO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 1421 E Market St, Warren, OH, 44483
    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 1950 Niles Cortland Rd NE Ste 10, Warren, OH, 44484
    • 1001 Covington St, Youngstown, OH, 44510
    • 960 Windham Ct Ste 1, Youngstown, OH, 44512

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH2526-003-000Medicare.gov
    $0a month

  • DEVOTED CHOICE MA ONLY 002 OH (PPO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 1421 E Market St, Warren, OH, 44483
    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 1950 Niles Cortland Rd NE Ste 10, Warren, OH, 44484
    • 1001 Covington St, Youngstown, OH, 44510
    • 960 Windham Ct Ste 1, Youngstown, OH, 44512

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4.5 starsH2526-002-000Medicare.gov
    $0a month

  • DEVOTED CORE 001 OH (HMO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 960 Windham Ct Ste 1, Youngstown, OH, 44512
    • 1001 Covington St, Youngstown, OH, 44510
    • 1950 Niles Cortland Rd NE Ste 10, Warren, OH, 44484
    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 1421 E Market St, Warren, OH, 44483

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH2697-001-000Medicare.gov
    $0a month

UnitedHealthcare

9 plans list Niraj.

9plans

  • AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1001 Covington St, Fl 2, Youngstown, OH, 44510

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-144-001Medicare.gov
    $0a month

  • AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1001 Covington St, Fl 2, Youngstown, OH, 44510

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-131-000Medicare.gov
    $0a month

  • AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1001 Covington St, Fl 2, Youngstown, OH, 44510

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-135-000Medicare.gov
    $0a month

  • AARP Medicare Advantage Patriot No Rx OH-MA2 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1001 Covington St, Fl 2, Youngstown, OH, 44510

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage4 starsH5253-244-000Medicare.gov
    $0a month

Medical Mutual of Ohio

6 plans list Niraj.

6plans

  • MedMutual Advantage Classic (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 1001 Covington St, Youngstown, OH, 44510
    • 960 Windham Ct, Ste 1, Youngstown, OH, 44512
    • 1950 Niles Cortland Rd NE, Ste 10, Warren, OH, 44484
    • 1421 E Market St, Warren, OH, 44483

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH6723-001-001Medicare.gov
    $0a month

  • MedMutual Advantage Select (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 1001 Covington St, Youngstown, OH, 44510
    • 960 Windham Ct, Ste 1, Youngstown, OH, 44512
    • 1950 Niles Cortland Rd NE, Ste 10, Warren, OH, 44484
    • 1421 E Market St, Warren, OH, 44483

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH4497-001-001Medicare.gov
    $55a month

  • MedMutual Advantage Choice (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 1001 Covington St, Youngstown, OH, 44510
    • 960 Windham Ct, Ste 1, Youngstown, OH, 44512
    • 1950 Niles Cortland Rd NE, Ste 10, Warren, OH, 44484
    • 1421 E Market St, Warren, OH, 44483

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH6723-002-001Medicare.gov
    $57a month

  • MedMutual Advantage Preferred (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 1001 Covington St, Youngstown, OH, 44510
    • 960 Windham Ct, Ste 1, Youngstown, OH, 44512
    • 1950 Niles Cortland Rd NE, Ste 10, Warren, OH, 44484
    • 1421 E Market St, Warren, OH, 44483

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH4497-002-001Medicare.gov
    $89a month

SummaCare Medicare Advantage Plans

6 plans list Niraj.

6plans

  • SummaCare Medicare Amber (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 1001 Covington St, Youngstown, OH, 44510
    • 960 Windham Ct, Ste 1, Youngstown, OH, 44512
    • 1950 Niles Cortland Rd NE, Ste 10, Warren, OH, 44484

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH3660-058-000Medicare.gov
    $0a month

  • SummaCare Medicare Quartz (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 1001 Covington St, Youngstown, OH, 44510
    • 960 Windham Ct, Ste 1, Youngstown, OH, 44512
    • 1950 Niles Cortland Rd NE, Ste 10, Warren, OH, 44484

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3660-057-000Medicare.gov
    $0a month

  • SummaCare Medicare Topaz (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 1001 Covington St, Youngstown, OH, 44510
    • 960 Windham Ct, Ste 1, Youngstown, OH, 44512
    • 1950 Niles Cortland Rd NE, Ste 10, Warren, OH, 44484

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3660-050-000Medicare.gov
    $17a month

  • SummaCare Medicare Ruby (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 1001 Covington St, Youngstown, OH, 44510
    • 960 Windham Ct, Ste 1, Youngstown, OH, 44512
    • 1950 Niles Cortland Rd NE, Ste 10, Warren, OH, 44484

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3660-044-000Medicare.gov
    $55a month

Wellcare

4 plans list Niraj.

4plans

  • Wellcare Buckeye Health Dual Access (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 4694 Belmont Ave, Youngstown, OH, 44505
    • 960 Windham Ct, Ste 1, Youngstown, OH, 44512
    • 1950 Niles Cortland Rd NE, Ste 10, Warren, OH, 44484
    • 1421 E Market St, Warren, OH, 44483

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH4158-002-000Medicare.gov
    $0a month

  • Wellcare Buckeye Health Dual Reserve (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 4694 Belmont Ave, Youngstown, OH, 44505
    • 960 Windham Ct, Ste 1, Youngstown, OH, 44512
    • 1950 Niles Cortland Rd NE, Ste 10, Warren, OH, 44484
    • 1421 E Market St, Warren, OH, 44483

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH4158-003-000Medicare.gov
    $0a month

  • Wellcare Buckeye MyCare Ohio Dual Align Unity (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 4694 Belmont Ave, Youngstown, OH, 44505
    • 960 Windham Ct, Ste 1, Youngstown, OH, 44512
    • 1950 Niles Cortland Rd NE, Ste 10, Warren, OH, 44484
    • 1421 E Market St, Warren, OH, 44483

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH4158-001-000Medicare.gov
    $0a month

  • Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504
    • 4694 Belmont Ave, Youngstown, OH, 44505
    • 960 Windham Ct, Ste 1, Youngstown, OH, 44512
    • 1950 Niles Cortland Rd NE, Ste 10, Warren, OH, 44484
    • 1421 E Market St, Warren, OH, 44483

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH4158-004-000Medicare.gov
    $10.30a month

HealthSpring

3 plans list Niraj.

3plans

  • HealthSpring Preferred (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage2.5 starsH0672-006-000Medicare.gov
    $0a month

  • HealthSpring Preferred Savings (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage2.5 starsH0672-016-000Medicare.gov
    $0a month

  • HealthSpring True Choice (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1044 Belmont Ave, Youngstown, OH, 44504

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH7849-015-000Medicare.gov
    $15a month

Molina Healthcare of Ohio

2 plans list Niraj.

2plans

  • Molina Complete Care Connect for MyCare Ohio (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1932 Niles Cortland Rd NE, Ste X, Warren, OH, 44484

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH9955-009-000Medicare.gov
    $21.10a month

  • Molina Complete Care for MyCare Ohio (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1932 Niles Cortland Rd NE, Ste X, Warren, OH, 44484

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH9955-008-000Medicare.gov
    $21.10a month

Aetna Medicare

Not listed on its 7 plans here. That isn't proof they're out of network.

CareSource MyCare Ohio (HMO D-SNP)

Not listed on its 1 plan here. That isn't proof they're out of network.

Humana

Not listed on its 16 plans here. That isn't proof they're out of network.

PrimeTime Health Plan

Not listed on its 4 plans here. That isn't proof they're out of network.

The Health Plan

Not listed on its 3 plans here. That isn't proof they're out of network.

Zing Health

Not listed on its 3 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Niraj takes it. Free.

Original Medicare

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

Where they practice

Practice location

4694 Belmont Ave
Youngstown, OH 44505

330-480-4080Directions
NPI Registry
NPI issued
2011
Registry record updated
Oct 12, 2022

Medicare's clinician details aren't available on this page yet.

Questions

Common questions

Which 2027 Medicare Advantage plans list Niraj Niraula?

In Mahoning County, OH, 52 Medicare Advantage plans for 2027 list Niraj in provider data from Medicare.gov or the carrier, including Anthem Extra Help (HMO-POS), Anthem Medicare Advantage (HMO-POS) and Anthem Veteran (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Niraj Niraula take Anthem Blue Cross and Blue Shield Medicare Advantage plans?

Medicare.gov provider data lists Niraj on 11 Medicare Advantage plans for 2027 in Mahoning County, OH, including Anthem Extra Help (HMO-POS) and Anthem Medicare Advantage (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Anthem Blue Cross and Blue Shield before you enroll.

Does Niraj Niraula take Devoted Medicare Advantage plans?

Devoted's own provider directory lists Niraj on 11 Medicare Advantage plans for 2027 in Mahoning County, OH, including DEVOTED CHOICE 001 OH (PPO) and DEVOTED CHOICE 003 OH (PPO). Confirm with the office or Devoted before you enroll.

Does Niraj Niraula take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists Niraj on 9 Medicare Advantage plans for 2027 in Mahoning County, OH, including AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS) and AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or UnitedHealthcare before you enroll.

Where does Niraj Niraula practice?

4694 Belmont Ave, Youngstown, OH 44505.

How do I confirm Niraj is in my plan's network?

Call the member services number on your plan card and give them the NPI 1215223722, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Niraj's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Niraj Niraula on 34 plans from Aetna Medicare, CareSource MyCare Ohio (HMO D-SNP), Humana, PrimeTime Health Plan, The Health Plan and Zing Health in Mahoning County, OH. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Claim this profileRequest a correction or removal

Nearby

Michael GrahamYoungstown, OH · Listed on 67 plansMolly HowsareYoungstown, OH · Listed on 67 plansTimothy BarreiroYoungstown, OH · Listed on 67 plansRyan ToolsonYoungstown, OH · Listed on 65 plansKowriah AmirthalingamYoungstown, OH · Listed on 64 plansAnthony BoulosYoungstown, OH · Listed on 63 plansAshlee RussoYoungstown, OH · Listed on 59 plansGhazaleh BigdeliYoungstown, OH · Listed on 59 plans

See all internal medicine, pulmonary disease providers in OH

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2022-10-12). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 24, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Niraj Niraula or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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Does Niraj take my plan?