Dr Shankar Prasad Ghimire, MD - Medicare Family Practice in Fremont, CA

Dr Shankar Prasad Ghimire, MD is a medicare enrolled "Family Medicine" physician in Fremont, California. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Snf Specialists Medical Corporation and his current practice location is 734 Mowry Ave, Fremont, California. You can reach out to his office (for appointments etc.) via phone at (510) 742-6274.

Dr Shankar Prasad Ghimire is licensed to practice in California (license number A114532) 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 1851693378.

Contact Information

Dr Shankar Prasad Ghimire, MD
734 Mowry Ave,
Fremont, CA 94536-4115
(510) 742-6274
Not Available

Map and Direction




Physician's Profile

Full NameDr Shankar Prasad Ghimire
GenderMale
SpecialityFamily Practice
Experience21 Years
Location734 Mowry Ave, Fremont, California
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 Shankar Prasad Ghimire graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1851693378
  • Provider Enumeration Date: 12/04/2010
  • Last Update Date: 07/15/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1153508650
  • Enrollment ID: I20110610000018

Medical Identifiers

Medical identifiers for Dr Shankar Prasad Ghimire such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851693378NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A114532 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Washington HospitalFremont, CAHospital
Fremont Healthcare CenterFremont, CANursing home
Valley Pointe Nursing & Rehabilitation CenterCastro valley, CANursing home
East Bay Post-acuteCastro valley, CANursing home

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 Shankar Prasad Ghimire allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameFremont Primary Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164737268
PECOS PAC ID: 5496935090
Enrollment ID: O20110215000407
Entity NameSnf Specialists Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497265565
PECOS PAC ID: 3678849049
Enrollment ID: O20171030003464

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 Shankar Prasad 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
Dr Shankar Prasad Ghimire, MD
734 Mowry Ave,
Fremont, CA 94536-4115

Ph: (510) 742-6274
Dr Shankar Prasad Ghimire, MD
734 Mowry Ave,
Fremont, CA 94536-4115

Ph: (510) 742-6274

Reviews and Comments


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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.