SUSMITA GHIMIRE BARAL
NPI 1093448128
Nurse Practitioner - Psychiatric/Mental Health in Raleigh, NC

Q: What is Susmita Ghimire Baral's NPI number?

The NPI number for Susmita Ghimire Baral is 1093448128. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Q: What is Susmita Ghimire Baral's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since July 06, 2022PECOS EnrolledAccepts Medicare Assignment

10901 WORLD TRADE BLVD, RALEIGH, NC 27617(919) 746-8900 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2023, Jul 6, 2022 (2 updates tracked since 2022).

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About Susmita Ghimire Baral NPPES

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

SUSMITA GHIMIRE BARAL (NPI 1093448128) is an individual psychiatric/mental health provider in Raleigh, North Carolina, licensed in North Carolina (5017583) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Weston, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093448128

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSUSMITA GHIMIRE BARAL

Location Address10901 WORLD TRADE BLVDRaleigh, NC 27617-4203

Mailing Address3605 Woodland Oaks DrNew Hill, NC 27562-9726 · (401) 572-0939

Phone(919) 746-8900

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 6, 2022

Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2023

✔ NPI 1093448128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NC · 5017583

Also ListedRegistered Nurse · Occupational HealthTaxonomy 163WX0106X · License NA (MA)

10901 WORLD TRADE BLVD, Raleigh, NC 27617

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Secondary Practice Location 1

Location 1235 Wellesley St Ste 1Weston, MA 02493-1571 · Phone (781) 768-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Providence Health Plan and more.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

Susmita Ghimire Baral 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 ID7113390352

PECOS Enrollment IDI20230308002826

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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

45 services22 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

35 services24 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27617 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRANDA GAVIN LCSWA

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