1. Home
  2. Directory
  3. North Carolina
  4. Hickory
  5. Internal Medicine
  6. NPI Profile

BINITA DAHAL
NPI 1003340019
Internal Medicine in Hickory, NC

Active since April 17, 2017PECOS EnrolledAccepts Medicare Assignment
420 N CENTER ST, HICKORY, NC 28601(828) 315-3360 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 26, 2021, Jan 18, 2021, Apr 17, 2017 (3 updates tracked since 2017).

About Binita Dahal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BINITA DAHAL (NPI 1003340019) is an individual internal medicine provider in Hickory, North Carolina, licensed in North Carolina (2020-02942) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003340019
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameBINITA DAHAL
Location Address420 N CENTER STHickory, NC 28601-5033
Mailing Address420 N Center StHickory, NC 28601-5033
Phone(828) 315-3360
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 17, 2017
Last NPPES UpdateJuly 26, 20213 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
✔ NPI 1003340019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2020-02942
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Adolescent MedicineTaxonomy 207RA0000X · License 2020-02942 (NC)
420 N CENTER ST, Hickory, NC 28601
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Binita Dahal is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224309075
PECOS Enrollment IDI20200824000736
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Binita Dahal reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc
1.6 mi
Pediatric Cardiology
1781 TATE BLVD SE, STE 203
Hickory, NC 28602
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,646 clinicians in this Medicare group
NPI 1013232438 (704) 381-3970
Caromont Medical Group Inc
25 mi
Family Medicine
910 E CHURCH ST STE A
Cherryville, NC 28021
  • Reassigned Medicare billing, North Carolina enrollment
  • 673 clinicians in this Medicare group
NPI 1124207725 (704) 445-0422
Optimed Hospitalists
26 mi
Hospitalist
557 BROOKDALE DRIVE
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina enrollment
  • 54 clinicians in this Medicare group
NPI 1235449125 (704) 873-5661
Telos Health Systems Nc PLLC
32 mi
Internal Medicine
550 GLENWOOD DR
Mooresville, NC 28115
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Vitae Health Medical North Carolina PLLC
  • 121 clinicians in this Medicare group
NPI 1265064414 (201) 217-6777
Scotland Regional Health Network
109 mi
Surgery
224 W MAIN ST
Hamlet, NC 28345
  • Reassigned Medicare billing, North Carolina enrollment
  • 248 clinicians in this Medicare group
NPI 1285907519 (910) 277-9164
Columbus Regional Health Network
178 mi
Family Medicine
320 JEFFERSON ST
Whiteville, NC 28472
  • Reassigned Medicare billing, North Carolina enrollment
  • 216 clinicians in this Medicare group
NPI 1134509912 (910) 641-8600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
446 services172 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
168 services156 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
104 services48 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
34 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340039
Location557 Brookdale DrStatesville, NC 28677 · Iredell County
Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRYE GROUP SERVICES, PLLC
Hospitalist
420 N CENTER ST
HICKORY, NC 28601
Catawba County (828) 315-5000
MR. HUNTER ATKINSON HARDAWAY PA-C
Physician Assistant
420 N CENTER ST
HICKORY, NC 28601
Catawba County (828) 315-5000
KEVIN R CLARK DO
General Practice
420 N CENTER ST
HICKORY, NC 28601
Catawba County (843) 237-3378
AARON J BRAUNSTEINER MD
Emergency Medicine
420 N CENTER ST
HICKORY, NC 28601
Catawba County (828) 315-5000
GASTONIA PHYSICIAN SERVICES, PLLC
Emergency Medicine
420 N CENTER ST
HICKORY, NC 28601
Catawba County (828) 315-5000
SHANA BARKES MA, CCC-SLP
Speech-Language Pathologist
420 N CENTER ST
HICKORY, NC 28601
Catawba County (828) 315-5000
FRANK C SMEEKS III MD
Emergency Medicine
420 N CENTER ST
HICKORY, NC 28601
Catawba County (828) 315-3199
DR. MARK HENRY HENNINGTON MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
420 N CENTER ST
HICKORY, NC 28601
Catawba County (828) 323-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Binita Dahal's NPI number?

The NPI number for Binita Dahal is 1003340019. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Binita Dahal located?

Binita Dahal practices at 420 N Center St, Hickory, NC 28601. The listed phone number is (828) 315-3360.

What is Binita Dahal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Binita Dahal enrolled in Medicare?

Yes. Binita Dahal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Binita Dahal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Binita Dahal reassigns Medicare benefits to 6 organizations: Carolinas Physicians Network Inc (Hickory, NC), Caromont Medical Group Inc (Cherryville, NC), Optimed Hospitalists (Statesville, NC), Telos Health Systems Nc PLLC (Mooresville, NC), Scotland Regional Health Network (Hamlet, NC) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Binita Dahal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Binita Dahal accept?

Health plans from Blue Cross and Blue Shield of NC list Binita Dahal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Binita Dahal affiliated with any hospitals?

According to CMS data, Binita Dahal is affiliated with Iredell Memorial Hospital Inc, North Carolina Baptist Hospital and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Binita Dahal was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.