DR. JYOTSHAL GHIMIRE DO
NPI 1083316814
Internal Medicine in Fort Wayne, IN

Active since March 17, 2023PECOS EnrolledAccepts Medicare Assignment
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 435-7001 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jyotshal Ghimire Do NPPES

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

DR. JYOTSHAL GHIMIRE DO (NPI 1083316814) is an individual internal medicine provider in Fort Wayne, Indiana, licensed in Indiana (02008928A) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2023).

NPPES Registry Identity

NPI1083316814
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JYOTSHAL GHIMIRECredential: DO
Location Address7950 W JEFFERSON BLVDFort Wayne, IN 46804-4160
Mailing Address1610 Delos Marr AveChesterton, IN 46304-4504 · (219) 902-4538
Sole ProprietorYes
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2023
Enumeration DateMarch 17, 2023
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1083316814 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 IN · 02008928A
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.
7950 W JEFFERSON BLVD, Fort Wayne, IN 46804

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

Dr. Jyotshal Ghimire Do 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 ID2567820830
PECOS Enrollment IDI20260629000334
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 Reassignment

Medicare enrollment records show Jyotshal Ghimire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospitalist
7950 W JEFFERSON BLVD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 309 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.

Hospital Affiliations CMS Care Compare

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 (Pulmonary Disease)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Pediatrics (Pediatric Critical Care Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Physician Assistant
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Pediatrics
7950 W JEFFERSON BLVD, SUITE 210
FORT WAYNE, IN 46804
Radiology (Diagnostic Radiology)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Pharmacist (Emergency Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Pharmacist
7950 W JEFFERSON BLVD, RESEARCH DEPARTMENT
FORT WAYNE, IN 46804

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 Jyotshal Ghimire's NPI number?

The NPI number for Jyotshal Ghimire is 1083316814. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Where is Jyotshal Ghimire located?

Jyotshal Ghimire practices at 7950 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 435-7001.

What is Jyotshal Ghimire's specialty?

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

Is Jyotshal Ghimire enrolled in Medicare?

Yes. Jyotshal Ghimire 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 organization bills Medicare for Jyotshal Ghimire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jyotshal Ghimire reassigns Medicare benefits to Hospitalist Physicians Of Indiana, PC (Fort Wayne, IN). The 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 Jyotshal Ghimire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jyotshal Ghimire affiliated with any hospitals?

According to CMS data, Jyotshal Ghimire is affiliated with Lutheran Hospital Of Indiana.

When was this NPI record last updated?

The NPPES record for Jyotshal Ghimire was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.