Raj Kumar Ghimire, MD, in Ephrata, PA

Raj Kumar Ghimire, MD, is a medicare enrolled "Internal Medicine" physician in Ephrata, Pennsylvania. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Inova Health Care Services, Inova Health Care Services 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 Name	Raj Kumar Ghimire
Gender	Male
Speciality	Hospitalist
Experience	21 Years
Location	169 Martin Ave, Ephrata, Pennsylvania
Accepts Medicare Assignments	Yes. 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: 02/19/2024

Medicare PECOS Information:

PECOS PAC ID: 3779779194
Enrollment ID: I20220801000971

Medical Identifiers

Medical identifiers for Raj Kumar Ghimire such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669605416	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	0101273704 (Virginia)	Secondary
208M00000X	Hospitalist	MD440482 (Pennsylvania)	Secondary
207R00000X	Internal Medicine	MD440482 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Inova Fairfax Hospital	Falls church, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Inova Health Care Services	2466351093	1725
Inova Health Care Services	2466351093	1725

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 Name	Inova Health Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644

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 Address	Practice 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

Internal Medicine Doctors in Ephrata, PA

Jeffrey Carlton Roeser, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 446 N Reading Rd Ste 301, Ephrata, PA 17522 Phone: 717-733-6546 Fax: 717-733-6011
Sarah Maurice, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-721-4740 Fax: 717-738-6872
Dr. Eugene Lee Camerino, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-721-4740 Fax: 717-738-6872
Palak Pranav Mehta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-721-4740 Fax: 717-738-6872
Cheryl Lynne Gardner, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 460 North Reading Rd, Ephrata, PA 17522 Phone: 717-738-4070 Fax: 717-738-3558
Dr. So Hyang Park, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 460 N Reading Rd, Ephrata, PA 17522 Phone: 717-738-4070 Fax: 717-738-3558
Karla M Ludwig, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 460 N Reading Rd, Ephrata, PA 17522 Phone: 717-721-4840 Fax: 717-738-3558

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