1. Home
  2. Directory
  3. North Carolina
  4. Lumberton
  5. General Practice
  6. NPI Profile

PRADEEP GHIMIRE MD
NPI 1003509381
General Practice in Lumberton, NC

Active since June 01, 2023PECOS Enrolled
395 W 27TH ST, LUMBERTON, NC 28358(910) 739-7551 Get Directions Write a Review

NPPES record last updated: May 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 17, 2026, Jan 6, 2025, Dec 12, 2024 and 1 more (4 updates tracked since 2023).

About Pradeep Ghimire Md NPPES

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

PRADEEP GHIMIRE MD (NPI 1003509381) is an individual general practice provider in Lumberton, North Carolina, licensed in North Carolina (2024-03317) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Florence, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1003509381
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NamePRADEEP GHIMIRECredential: MD
Location Address395 W 27TH STLumberton, NC 28358-3018
Mailing Address300 W 27th StLumberton, NC 28358-3075 · (910) 739-7551
Phone(910) 739-7551
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 1, 2023
Last NPPES UpdateMay 17, 20264 updates tracked since enumeration
NPPES CertifiedMay 17, 2026
✔ NPI 1003509381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NC · 2024-03317
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X · License 2024-03317 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
395 W 27TH ST, Lumberton, NC 28358
Open in Google Maps ↗

Secondary Practice Location 1

Location 1805 Pamplico HwyFlorence, SC 29505-6047 · Phone (843) 792-6252

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pradeep Ghimire Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789045634
PECOS Enrollment IDI20251103003979
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

2

Medicare enrollment records show Pradeep Ghimire reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Musc Community Physicians
148 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290
Signify Health Medical Associates, PLLC
1,032 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, North Carolina enrollment
  • 728 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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

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.

CHRISTOPHER FINK DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
CHARLES R. BEASLEY M.D.
Internal Medicine
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
JOHNNY LEE DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
DR. BRITTANY NOELANI SUDDRETH DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
BARAA S A BARAAWI MD
Hospitalist
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
PAUL SIERSZULSKI DO
Internal Medicine
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7557
NAM HUYNH
Hospitalist
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
LEAH OPAL BUMBARGER DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (727) 417-4303

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 Pradeep Ghimire's NPI number?

The NPI number for Pradeep Ghimire is 1003509381. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Where is Pradeep Ghimire located?

Pradeep Ghimire practices at 395 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 739-7551.

What is Pradeep Ghimire's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Pradeep Ghimire enrolled in Medicare?

Yes. Pradeep Ghimire is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pradeep Ghimire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pradeep Ghimire reassigns Medicare benefits to 2 organizations: Musc Community Physicians (Bamberg, SC) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Pradeep Ghimire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pradeep Ghimire was last updated on May 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.