PRAKASH KHANAL MD
NPI 1053561498
Internal Medicine in Newark, DE

Active since September 23, 2008PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON RD, SUITE 5A43, NEWARK, DE 19718(302) 623-0188 Get Directions Write a Review

NPPES record last updated: August 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2016, Aug 17, 2016 (2 updates tracked since 2016).

About Prakash Khanal Md NPPES

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

PRAKASH KHANAL MD (NPI 1053561498) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C1-0011803) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2005).

NPPES Registry Identity

NPI1053561498
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRAKASH KHANALCredential: MD
Location Address4755 OGLETOWN STANTON RD, SUITE 5A43Newark, DE 19718-2200
Mailing Address4755 Ogletown Stanton Rd, Suite 5a43Newark, DE 19718-2200 · (302) 623-0188
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2005
Enumeration DateSeptember 23, 2008
Last NPPES UpdateAugust 24, 20162 updates tracked since enumeration
NPI 1053561498 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 DE · C1-0011803
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 ListedHospitalistTaxonomy 208M00000X · License 201101683 (NC), 0101252620 (VA), 24218 (WV)
4755 OGLETOWN STANTON RD, Newark, DE 19718

Accepted Insurance

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

Prakash Khanal 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 ID547453284
PECOS Enrollment IDI20160818001732
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.
420 services121 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.
295 services127 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.
71 services71 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.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$13.80 avg. paid by Medicare
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 suppliers24 claims24 services$65.86 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.

Physician Assistant (Medical)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Practitioner
4755 OGLETOWN STANTON RD, ROOM E1070 CENTER FOR HEART & VASCULAR HEALTH AT CHRIST
NEWARK, DE 19718
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Internal Medicine (Cardiovascular Disease)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Practitioner (Acute Care)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Student in an Organized Health Care Education/Training Program
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718

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 Prakash Khanal's NPI number?

The NPI number for Prakash Khanal is 1053561498. It was assigned to this individual provider in the NPPES registry on September 23, 2008.

Where is Prakash Khanal located?

Prakash Khanal practices at 4755 Ogletown Stanton Rd Suite 5a43, Newark, DE 19718. The listed phone number is (302) 623-0188.

What is Prakash Khanal's specialty?

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

Is Prakash Khanal enrolled in Medicare?

Yes. Prakash Khanal 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.

What insurance does Prakash Khanal accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Prakash Khanal 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.

When was this NPI record last updated?

The NPPES record for Prakash Khanal was last updated on August 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.