Raj Kumar Ghimire, MD, - Medicare Hospitalist in Ephrata, PA

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Raj Kumar Ghimire, MD, is a medicare enrolled "Hospitalist" physician in Ephrata, Pennsylvania. He graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Wellspan Medical Group and his current practice location is 169 Martin Ave, Ephrata, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 721-4740.

Raj Kumar Ghimire is licensed to practice in Pennsylvania (license number MD440482) 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 1669605416.

Contact Information

Raj Kumar Ghimire, MD,
169 Martin Ave,
Ephrata, PA 17522-1734
(717) 721-4740
(717) 738-6872

Map and Direction




Physician's Profile

Full NameRaj Kumar Ghimire
GenderMale
SpecialityHospitalist
Experience22 Years
Location169 Martin Ave, Ephrata, Pennsylvania
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:
  • Raj Kumar Ghimire graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1669605416
  • Provider Enumeration Date: 08/27/2009
  • Last Update Date: 09/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3779779194
  • Enrollment ID: I20101124000999

Medical Identifiers

Medical identifiers for Raj Kumar Ghimire such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669605416NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD440482 (Pennsylvania)Secondary
208M00000XHospitalist MD440482 (Pennsylvania)Primary
207R00000XInternal Medicine 0101273704 (Virginia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Good Samaritan HospitalLebanon, PAHospital
Wellspan Ephrata Community HospitalEphrata, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellspan Medical Group19512131152052

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. Raj Kumar Ghimire allows following entities to bill medicare on his behalf.
Entity NameWellspan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669770004
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815
Entity NameMercy Management Of Southeastern Pennsylvania
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427573492
PECOS PAC ID: 1456265974
Enrollment ID: O20040309000333
Entity NameTemple Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942444088
PECOS PAC ID: 2062317233
Enrollment ID: O20040310000054
Entity NameTrinity Health Mid-atlantic Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972982361
PECOS PAC ID: 7416861885
Enrollment ID: O20040326000613
Entity NameSuburban Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710355029
PECOS PAC ID: 6204145642
Enrollment ID: O20151026000795
Entity NameInhospital Physicians Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073971750
PECOS PAC ID: 3779888110
Enrollment ID: O20160224000067

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. Raj Kumar 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
Raj Kumar Ghimire, MD,
601 Memory Ln,
York, PA 17402-2231

Ph: (717) 851-1405		Raj Kumar Ghimire, MD,
169 Martin Ave,
Ephrata, PA 17522-1734

Ph: (717) 721-4740

Reviews and Comments


Hospitalist Doctors in Ephrata, PA

Dr. Michael Xuan Le, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 169 Martin Ave, Ephrata, PA 17522
Phone: 717-721-4740    Fax: 717-738-6872
William D Loretan, DO
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 446 N Reading Rd, Suite 301, Ephrata, PA 17522
Phone: 717-733-6546    Fax: 717-733-6011
Mr. Justin Paul Vandermolen,
Hospitalist
Medicare: May Accept Medicare Assignments
Practice Location: Po Box 1002, Ephrata, PA 17522
Phone: 717-721-4740    Fax: 717-738-6872
Heather D Mccord,
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 169 Martin Ave, Ephrata, PA 17522
Phone: 717-721-4740    Fax: 717-738-6872
Dr. Jyothy Punnoose, D.O.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 169 Martin Ave, Ephrata, PA 17522
Phone: 717-721-4740    Fax: 717-738-6872
Dr. Il Jun Chon, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 446 N Reading Rd, Suite 301, Ephrata, PA 17522
Phone: 717-733-6546    Fax: 717-733-6010
Marino D Mallozzi, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 446 N Reading Rd, Suite 301, Ephrata, PA 17522
Phone: 717-733-6546    Fax: 717-733-6010

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.