DHAKA GURUNG
NPI 1043812407
Nurse Practitioner - Family in Roanoke, VA
About Dhaka Gurung NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DHAKA GURUNG (NPI 1043812407) is an individual family provider in Roanoke, Virginia, licensed in Virginia (0024179063) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dhaka Gurung 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.
Medicare Billing Reassignments
4Medicare enrollment records show Dhaka Gurung reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roanoke, VA 24018
- Reassigned Medicare billing, Virginia enrollment
- 28 clinicians in this Medicare group
Ashburn, VA 20148
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 127 clinicians in this Medicare group
Arlington, VA 22203
- Reassigned Medicare billing, Virginia enrollment
- 1,315 clinicians in this Medicare group
Pikesville, MD 21208
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 59 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mary Washington Hospital
Acute Care Hospitals · Fredericksburg, VASentara Northern Virginia Medical Center
Acute Care Hospitals · Woodbridge, VAStafford Hospital, LLC
Acute Care Hospitals · Stafford, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dhaka Gurung's NPI number?
The NPI number for Dhaka Gurung is 1043812407. It was assigned to this individual provider in the NPPES registry on November 11, 2020.
Where is Dhaka Gurung located?
Dhaka Gurung practices at 5372 Fallowater Ln Ste 200, Roanoke, VA 24018. The listed phone number is (216) 672-3100.
What is Dhaka Gurung's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dhaka Gurung enrolled in Medicare?
Yes. Dhaka Gurung 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 Dhaka Gurung's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dhaka Gurung reassigns Medicare benefits to 4 organizations: Atlantic Healthcare Services LLC (Roanoke, VA), Virginia Internal Medicine Inc (Ashburn, VA), Privia Medical Group, LLC (Arlington, VA) and Optimize Medical Group (Pikesville, MD). 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 Dhaka Gurung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dhaka Gurung accept?
Health plans from Oscar Health list Dhaka Gurung 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 Dhaka Gurung affiliated with any hospitals?
According to CMS data, Dhaka Gurung is affiliated with Mary Washington Hospital, Sentara Northern Virginia Medical Center and Stafford Hospital, LLC.
When was this NPI record last updated?
The NPPES record for Dhaka Gurung was last updated on March 1, 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.
# Dhaka Gurung · NPI 1043812407
Family physician in Roanoke, Virginia. Individual provider, active in the CMS NPPES registry since November 11, 2020.
## Identity
- **NPI:** 1043812407 (Entity type: Individual)
- **Enumerated:** November 11, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024179063 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 5372 FALLOWATER LN STE 200, Roanoke, VA 24018-0909
- **Phone:** (216) 672-3100 · **Fax:** (216) 362-0677
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Atlantic Healthcare Services LLC (NPI 1912491739, Roanoke, VA); Virginia Internal Medicine Inc (NPI 1740525245, Ashburn, VA); Privia Medical Group, LLC (NPI 1013042480, Arlington, VA); Optimize Medical Group (NPI 1952818999, Pikesville, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1043812407) · Data from the CMS NPPES public registry.