Dr Niraj Karki, MD - Medicare Infectious Disease in Presque Isle, ME

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Dr Niraj Karki, MD is a medicare enrolled "Hospitalist" physician in Presque Isle, Maine. He graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Infectious Disease. He is a member of the group practice Pih Health Physicians and his current practice location is 140 Academy St, Presque Isle, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 768-4000.

Dr Niraj Karki is licensed to practice in Maine (license number MD20087) 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 1952670309.

Contact Information

Dr Niraj Karki, MD
140 Academy St,
Presque Isle, ME 04769-3102
(207) 768-4000
Not Available

Map and Direction




Physician's Profile

Full NameDr Niraj Karki
GenderMale
SpecialityInfectious Disease
Experience21 Years
Location140 Academy St, Presque Isle, Maine
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:
  • Dr Niraj Karki graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1952670309
  • Provider Enumeration Date: 12/14/2011
  • Last Update Date: 02/15/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9537385976
  • Enrollment ID: I20170419000885

Medical Identifiers

Medical identifiers for Dr Niraj Karki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952670309NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist MD20087 (Maine)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pih Hospital - DowneyDowney, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pih Health Physicians8426951328509

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. Dr Niraj Karki allows following entities to bill medicare on his behalf.
Entity NamePih Health Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609233899
PECOS PAC ID: 8426951328
Enrollment ID: O20040128001177
Entity NamePioneer Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548303589
PECOS PAC ID: 1759317696
Enrollment ID: O20050712001246

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. Dr Niraj Karki 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
Dr Niraj Karki, MD
140 Academy St,
Presque Isle, ME 04769-3102

Ph: (207) 768-4000		Dr Niraj Karki, MD
140 Academy St,
Presque Isle, ME 04769-3102

Ph: (207) 768-4000

Reviews and Comments


Hospitalist Doctors in Presque Isle, ME

Dr. Ram Mohan Rao Venepally, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 140 Academy St, Presque Isle, ME 04769
Phone: 207-768-4412    
Dr. Roger T Pelli, DO
Hospitalist
Medicare: Not Enrolled in Medicare
Practice Location: 140 Academy St, Presque Isle, ME 04769
Phone: 207-768-4000    Fax: 207-768-4046
Dr. Mohammed S Aziz, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 140 Academy St, Presque Isle, ME 04769
Phone: 207-768-4000    Fax: 207-768-4046

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.