Bijaya Ghimire, MD - Medicare Emergency Medicine in Richmond, KY

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Bijaya Ghimire, MD is a medicare enrolled "Emergency Medicine" physician in Richmond, Kentucky. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Central Ky Urgent Care Center Inc, Pine Mountain Emergency Group Limited Liability Company and his current practice location is 103 Keystone Dr Ste 5, Richmond, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 353-8884.

Bijaya Ghimire is licensed to practice in Kentucky (license number 41249) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891975280.

Contact Information

Bijaya Ghimire, MD
103 Keystone Dr Ste 5,
Richmond, KY 40475-7988
(859) 353-8884
(606) 598-0983

Map and Direction




Physician's Profile

Full NameBijaya Ghimire
GenderMale
SpecialityEmergency Medicine
Experience24 Years
Location103 Keystone Dr Ste 5, Richmond, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bijaya Ghimire graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1891975280
  • Provider Enumeration Date: 11/14/2007
  • Last Update Date: 11/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7517048176
  • Enrollment ID: I20080122000088

Medical Identifiers

Medical identifiers for Bijaya Ghimire such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891975280NPI-NPPES
P00667618OtherRR MEDICARE
7100038390MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 41249 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Middlesboro Arh HospitalMiddlesboro, KYHospital
Knox County HospitalBarbourville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Central Ky Urgent Care Center Inc41839835476
Pine Mountain Emergency Group Limited Liability Company377991817211

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bijaya Ghimire allows following entities to bill medicare on his behalf.
Entity NameSouthern Medical Partners, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538109962
PECOS PAC ID: 8123923679
Enrollment ID: O20031206000036
Entity NameThe James B Haggin Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558581785
PECOS PAC ID: 8527957448
Enrollment ID: O20040310001400
Entity NameMemorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831150119
PECOS PAC ID: 4486616141
Enrollment ID: O20041103001183
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285
Entity NameWilliamson Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740492644
PECOS PAC ID: 5294828562
Enrollment ID: O20070831000176
Entity NameMiddlesborough Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972715878
PECOS PAC ID: 9335232321
Enrollment ID: O20070907000084
Entity NameFloyd Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760834345
PECOS PAC ID: 6608164488
Enrollment ID: O20161011001337
Entity NameCentral Ky Urgent Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023535796
PECOS PAC ID: 4183983547
Enrollment ID: O20180111000998
Entity NameConcord Company Of Tennessee Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649743667
PECOS PAC ID: 0345588109
Enrollment ID: O20190221000097
Entity NamePine Mountain Emergency Group Limited Liability Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568010064
PECOS PAC ID: 3779918172
Enrollment ID: O20200113001770

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bijaya Ghimire is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bijaya Ghimire, MD
Po Box 1225,
Richmond, KY 40476-1225

Ph: (859) 353-8884		Bijaya Ghimire, MD
103 Keystone Dr Ste 5,
Richmond, KY 40475-7988

Ph: (859) 353-8884

Reviews and Comments


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Dr. David P Turley, M.D.
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Michael Justin Price, M.D.
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Taylor Andrew Baldwin, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.