ROSHAN THAPA MD
NPI 1083137954
Hospitalist in Newark, DE

Active since July 21, 2017PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718(302) 623-0188(302) 733-5640 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 25, 2024, Jul 21, 2022, Oct 22, 2020 and 3 more (6 updates tracked since 2017).

About Roshan Thapa Md NPPES

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

ROSHAN THAPA MD (NPI 1083137954) is an individual hospitalist provider in Newark, Delaware, licensed in Delaware (C1-0026923) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1083137954
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameROSHAN THAPACredential: MD
Location Address4755 OGLETOWN STANTON RD STE 5A43Newark, DE 19718-2200
Mailing Address4755 Ogletown Stanton Rd Ste 5a43Newark, DE 19718-2200 · (302) 623-0188 · Fax (302) 733-5640
Fax(302) 733-5640
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 21, 2017
Last NPPES UpdateJune 25, 20246 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
NPI 1083137954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in DE · C1-0026923 Licensed in ME · MD23395
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 C1-0026923 (DE), MD23395 (ME)
4755 OGLETOWN STANTON RD STE 5A43, Newark, DE 19718

Secondary Practice Locations 3

Location 1355 Ridge AveEvanston, IL 60202-3328 · Phone (847) 316-4000
Location 243 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · Phone (207) 973-5000 · Fax (207) 973-5042
Location 3489 State StBangor, ME 04401-6616 · Phone (207) 973-6676

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

Roshan Thapa 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 ID8426472440
PECOS Enrollment IDI20240624000032, I20240722002313
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 2024 & 2026 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.
560 services202 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.
94 services94 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.
54 services28 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

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
3 suppliers13 claims13 services$14.88 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
3 suppliers13 claims13 services$77.02 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.

Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43, CHRISTIANA HOSPITAL
NEWARK, DE 19718
Nurse Practitioner (Adult Health)
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Nurse Practitioner
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Nurse Practitioner (Family)
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Hospitalist
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083137954, enumerated as an "individual" on July 21, 2017.

The provider is located at 4755 OGLETOWN STANTON RD STE 5A43 NEWARK, DE 19718 and the phone number is (302) 623-0188.

Hospitalist with taxonomy code 208M00000X.

Roshan Thapa is affiliated with: UNION HOSPITAL OF CECIL COUNTY.