DR. MONIKA POKHAREL M.D.
NPI 1124251541
Hospitalist in Fargo, ND

Q: What is Monika Pokharel's NPI number?

The NPI number for Monika Pokharel is 1124251541. It was assigned to this individual provider in the NPPES registry on September 2, 2009.

Q: What is Monika Pokharel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Monika Pokharel was last updated on August 2, 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.

Active since September 02, 2009PECOS EnrolledAccepts Medicare Assignment

3000 32ND AVE S, FARGO, ND 58103(701) 364-8000(701) 364-8078 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2018, Dec 24, 2015 (2 updates tracked since 2015).

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About Dr. Monika Pokharel M.d. NPPES

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

DR. MONIKA POKHAREL M.D. (NPI 1124251541) is an individual hospitalist provider in Fargo, North Dakota, licensed in Virginia (0101264522) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1124251541

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameDR. MONIKA POKHARELCredential: M.D.

Location Address3000 32ND AVE SFargo, ND 58103-6132

Mailing Address856 J Clyde Morris Blvd, Ste ANewport News, VA 23601-1318 · (757) 316-5800 · Fax (757) 534-5190

Phone(701) 364-8000

Fax(701) 364-8078

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateSeptember 2, 2009

Last NPPES UpdateAugust 2, 20182 updates tracked since enumeration

✔ NPI 1124251541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in VA · 0101264522

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 55137 (MN), 13492 (ND)

3000 32ND AVE S, Fargo, ND 58103

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Other Identifiers 1

Medicaid1124251541MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica.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

Dr. Monika Pokharel M.d. 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 ID8921256892

PECOS Enrollment IDI20150916001545, I20180828000559

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 7

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.

405 services174 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.

166 services164 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.

150 services97 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.

128 services127 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.

45 services44 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

38 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Essentia Health St Marys - Detroit Lakes

Acute Care Hospitals · Detroit Lakes, MN

OwnershipVoluntary non-profit - Church

CMS Certification Number240101

Location1027 Washington AveDetroit Lakes, MN 56501 · Becker County

Birthing friendly

Essentia Health

Acute Care Hospitals · Fargo, ND

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350070

Location3000 32nd Ave SouthFargo, ND 58104 · Cass County

Emergency services Birthing friendly

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490052

Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County

Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490130

Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County

Emergency services

Riverside Doctors' Hospital Of Williamsburg

Acute Care Hospitals · Williamsburg, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490143

Location1500 Commonwealth AvenueWilliamsburg, VA 23185 · James City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 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

$127.45 typical visit price

range $55.75 – $168.12

Typical copayment $31.86 (range $13.93 – $42.03)

Most-billed visit code 99204

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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

2 suppliers23 claims23 services$14.27 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 suppliers34 claims34 services$66.73 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.

ZENA KAY HOMAN M.D.

Obstetrics & Gynecology