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NABA RAJ MAINALI MD
NPI 1013297399
Hospitalist in Lebanon, PA

Active since August 18, 2011PECOS EnrolledAccepts Medicare Assignment
252 S 4TH ST, LEBANON, PA 17042(717) 270-4876 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2024, Apr 22, 2022, Jan 31, 2020 and 1 more (4 updates tracked since 2017).

About Naba Raj Mainali Md NPPES

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

NABA RAJ MAINALI MD (NPI 1013297399) is an individual hospitalist provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MD452652) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Wellspan Good Samaritan Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1013297399
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameNABA RAJ MAINALICredential: MD
Location Address252 S 4TH STLebanon, PA 17042-6111
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 270-4876
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 18, 2011
Last NPPES UpdateDecember 12, 20244 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1013297399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · MD452652
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD452652 (PA)
252 S 4TH ST, Lebanon, PA 17042
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Other Identifiers 1

Medicaid102949020PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Naba Raj Mainali Md 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 ID244458693
PECOS Enrollment IDI20140826001673
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.

Areas of Expertise CMS Part B claims 4

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 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.
191 services88 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.
62 services62 patients
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.
48 services31 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17042 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$105.86 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$38.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MATTHEW JOHN YORTY
Nurse Anesthetist, Certified Registered
252 S 4TH ST
LEBANON, PA 17042
Lebanon County (717) 270-7500
LISA M HELFRICH PA-C
Physician Assistant
252 S 4TH ST, GOOD SAMARITAN HOSPITAL
LEBANON, PA 17042
Lebanon County (717) 270-7688
CLAUDIA BOHDAL
Physician Assistant
252 S 4TH ST
LEBANON, PA 17042
Lebanon County (717) 270-7500
MARCUS ALEXANDER SAUNDERS M.D.
Emergency Medicine
252 S 4TH ST
LEBANON, PA 17042
Lebanon County (717) 270-7688
DR. NINA L ELLIOTT DO
Emergency Medicine
252 S 4TH ST
LEBANON, PA 17042
Lebanon County (717) 270-7688
MRS. WANDA GARRETT PEREZ CRNA
Nurse Anesthetist, Certified Registered
252 S 4TH ST
LEBANON, PA 17042
Lebanon County (717) 270-7500
PRIYANKA SHARMA DO
Hospitalist
252 S 4TH ST
LEBANON, PA 17042
Lebanon County (717) 270-4876
SARAH SCHANNAUER PA-C
Physician Assistant
252 S 4TH ST
LEBANON, PA 17042
Lebanon County (717) 270-7688

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 Naba Raj Mainali's NPI number?

The NPI number for Naba Raj Mainali is 1013297399. It was assigned to this individual provider in the NPPES registry on August 18, 2011.

Where is Naba Raj Mainali located?

Naba Raj Mainali practices at 252 S 4th St, Lebanon, PA 17042. The listed phone number is (717) 270-4876.

What is Naba Raj Mainali's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Naba Raj Mainali enrolled in Medicare?

Yes. Naba Raj Mainali 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.

Is Naba Raj Mainali affiliated with any hospitals?

According to CMS data, Naba Raj Mainali is affiliated with Wellspan Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Naba Raj Mainali was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.