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SHRADHA POKHAREL MD
NPI 1114124112
Internal Medicine - Infectious Disease in Orange Park, FL

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2021 KINGSLEY AVE, SUITE 101, ORANGE PARK, FL 32073(904) 298-2113(904) 298-1922 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shradha Pokharel Md NPPES

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

SHRADHA POKHAREL MD (NPI 1114124112) is an individual infectious disease provider in Orange Park, Florida, licensed in Florida (ME107854) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1114124112
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameSHRADHA POKHARELCredential: MD
Location Address2021 KINGSLEY AVE, SUITE 101Orange Park, FL 32073-5174
Mailing Address2021 Kingsley Ave, Suite 101Orange Park, FL 32073-5174 · (904) 298-2113 · Fax (904) 298-1922
Phone(904) 298-2113
Fax(904) 298-1922
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 2, 2007
Last NPPES UpdateOctober 8, 2015
✔ NPI 1114124112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · ME107854
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

2021 KINGSLEY AVE, Orange Park, FL 32073
Open in Google Maps ↗

Other Identifiers 5

Medicaid003140199AGA
Medicare PINEL297YFL
Other149FMFL · Bcbs
Medicaid002671500FL
Medicare PINEL297Z

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare 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

Shradha Pokharel 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 ID5092800706
PECOS Enrollment IDI20110209000327
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 6

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 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.
1,166 services361 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.
263 services243 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.
245 services158 patients
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.
35 services32 patients
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.
31 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Hca Florida Orange Park Hospital

Acute Care Hospitals · Orange Park, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100226
Location2001 Kingsley AveOrange Park, FL 32073 · Clay County
Emergency services Birthing friendly

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100321
Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 12

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

OMAR M GARCIA MD
Anesthesiology
2021 KINGSLEY AVE, SUITE 105
ORANGE PARK, FL 32073
Clay County (904) 276-5400
CARLA J PARDO M.D.
Anesthesiology
2021 KINGSLEY AVE, SUITE 105
ORANGE PARK, FL 32073
Clay County (904) 276-5400
A1 IMAGING II OF ORANGE PARK LLC
Clinic/Center (Magnetic Resonance Imaging (MRI))
2021 KINGSLEY AVE, SUITE 108
ORANGE PARK, FL 32073
Clay County (941) 925-3490
OMI OF ORANGE PARK INC
Clinic/Center (Radiology)
2021 KINGSLEY AVE, SUITE 108
ORANGE PARK, FL 32073
Clay County (904) 272-9300
TRACEY AMANDA BLEAU PA-C
Physician Assistant (Medical)
2021 KINGSLEY AVE, SUITE 101
ORANGE PARK, FL 32073
Clay County (904) 298-2113
CHRISTOPHER GATHERAL CRNA
Nurse Anesthetist, Certified Registered
2021 KINGSLEY AVE, SUITE 105
ORANGE PARK, FL 32073
Clay County (904) 276-5400
MR. MICHAEL DENNIS FLINT PHYSICIAN ASSISTANT
Physician Assistant
2021 KINGSLEY AVE, SUN SHINESPINE AND PAIN
JACKSONVILE, FL 32073
Clay County (904) 292-2700
DR. MARK A SPATOLA M.D.
Neurological Surgery
2021 KINGSLEY AVE, STE 101
ORANGE PARK, FL 32073
Clay County (904) 276-3376

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 Shradha Pokharel's NPI number?

The NPI number for Shradha Pokharel is 1114124112. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Shradha Pokharel located?

Shradha Pokharel practices at 2021 Kingsley Ave Suite 101, Orange Park, FL 32073. The listed phone number is (904) 298-2113.

What is Shradha Pokharel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Shradha Pokharel enrolled in Medicare?

Yes. Shradha Pokharel 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 Shradha Pokharel accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and UnitedHealthcare list Shradha Pokharel 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.

Is Shradha Pokharel affiliated with any hospitals?

According to CMS data, Shradha Pokharel is affiliated with Baptist Health Medical Center - Jacksonville, Hca Florida Orange Park Hospital and Ascension St Vincent's Clay County.

When was this NPI record last updated?

The NPPES record for Shradha Pokharel was last updated on October 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.