KUSHUM POKHAREL NP-C
NPI 1104328673
Nurse Practitioner - Family in Fort Worth, TX

Active since March 01, 2018PECOS Enrolled
9036 SUNRIDGE CIRCLE APT 236, FORT WORTH, TX 76120(256) 797-3968 Get Directions Write a Review

NPPES record last updated: March 1, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kushum Pokharel Np-c NPPES

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

KUSHUM POKHAREL NP-C (NPI 1104328673) is an individual family provider in Fort Worth, Texas, licensed in Texas (AP136816) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104328673
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKUSHUM POKHARELCredential: NP-C
Location Address9036 SUNRIDGE CIRCLE APT 236Fort Worth, TX 76120
Mailing Address9036 Sunridge Circle Apt 236Fort Worth, TX 76120 · (256) 797-3968
Sole ProprietorNo
Enumeration DateMarch 1, 2018
✔ NPI 1104328673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP136816
9036 SUNRIDGE CIRCLE APT 236, Fort Worth, TX 76120

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kushum Pokharel Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Kushum Pokharel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
8208 BEDFORD EULESS RD
North Richland Hills, TX 76180
  • Reassigned Medicare billing, Texas enrollment
  • 17 clinicians in this Medicare group
Gastroenterology
500 N VALLEY PKWY, SUITE 111
Lewisville, TX 75067
  • Reassigned Medicare billing, Texas enrollment
  • 4 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

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76120 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

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 Kushum Pokharel's NPI number?

The NPI number for Kushum Pokharel is 1104328673. It was assigned to this individual provider in the NPPES registry on March 1, 2018.

Where is Kushum Pokharel located?

Kushum Pokharel practices at 9036 Sunridge Circle Apt 236, Fort Worth, TX 76120. The listed phone number is (256) 797-3968.

What is Kushum Pokharel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kushum Pokharel enrolled in Medicare?

Yes. Kushum Pokharel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kushum Pokharel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kushum Pokharel reassigns Medicare benefits to 2 organizations: Aymancare PLLC (North Richland Hills, TX) and Laxmideepika Koya, M.D.,p.A (Lewisville, TX). 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 Kushum Pokharel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kushum Pokharel was last updated on March 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.