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APEKCHAYA POKHAREL MD
NPI 1124698592
Emergency Medicine in Monroe, MI

Active since June 29, 2021PECOS Enrolled
718 N MACOMB ST, MONROE, MI 48162(734) 240-8400 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Nov 22, 2024, Aug 2, 2024 and 1 more (4 updates tracked since 2021).

About Apekchaya Pokharel Md NPPES

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

APEKCHAYA POKHAREL MD (NPI 1124698592) is an individual emergency medicine provider in Monroe, Michigan, licensed in Ohio (35.151694) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124698592
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameAPEKCHAYA POKHARELCredential: MD
Location Address718 N MACOMB STMonroe, MI 48162-7815
Mailing Address718 N Macomb StMonroe, MI 48162-7815 · (304) 890-7785
Phone(734) 240-8400
Sole ProprietorNo
Enumeration DateJune 29, 2021
Last NPPES UpdateSeptember 11, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1124698592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in OH · 35.151694✔ Licensed in MI · 4351048375✔ Licensed in IN · 01094580A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
718 N MACOMB ST, Monroe, MI 48162
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1PO Box 635004Cincinnati, OH 45263-5004 · Phone (260) 425-3000
Location 2702 Van Buren StFort Wayne, IN 46802-3697 · Phone (260) 425-3000 ext. 64306

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Apekchaya Pokharel Md 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

6

Medicare enrollment records show Apekchaya Pokharel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Emergency Care Services, Inc.
19 mi
Emergency Medicine
2213 CHERRY ST
Toledo, OH 43608
  • Reassigned Medicare billing, Ohio enrollment
  • 277 clinicians in this Medicare group
NPI 1477957819 (419) 251-3232
Emergency Professionals Of Indiana, P.C.
114 mi
Emergency Medicine
7950 W JEFFERSON BLVD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Emergency Professionals Of Indiana PC
  • 404 clinicians in this Medicare group
NPI 1013951219 (260) 435-2699
Ohio Emergency Professionals Inc
137 mi
Emergency Medicine
50 W BROAD ST
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 474 clinicians in this Medicare group
NPI 1982983425 (440) 887-4718
Emergency Professional Services, Inc.
207 mi
Emergency Medicine
230 MEDICAL CENTER DR
Seaman, OH 45679
  • Reassigned Medicare billing, Ohio enrollment
  • 894 clinicians in this Medicare group
NPI 1093762353 (937) 386-3400
Aspirus Riverview Hospital & Clinics, Inc.
355 mi
Multi-Specialty
419 N OAK ST
Adams, WI 53910
  • Reassigned Medicare billing, Wisconsin enrollment
  • 397 clinicians in this Medicare group
NPI 1114411287 (608) 339-5250
Emergency Medicine Services Of Fl, LLC
1,115 mi
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
NPI 1043917180 (305) 682-7000

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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
65 services64 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
35 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48162 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

GIA-HAU NGUYEN D.O.
Emergency Medicine
718 N MACOMB ST
MONROE, MI 48162
Monroe County (734) 240-8400
ANISHINDER PARKASH MD
Student in an Organized Health Care Education/Training Program
718 N MACOMB ST
MONROE, MI 48162
Monroe County (248) 229-1450
KAITLIN ASSAAD
Pharmacist (Ambulatory Care)
718 N MACOMB ST
MONROE, MI 48162
Monroe County (419) 291-2010
EDWARD KRESYMAN DO
Family Medicine
718 N MACOMB ST
MONROE, MI 48162
Monroe County (734) 240-8927
MR. RONALD J KRAMER CRNA
Nurse Anesthetist, Certified Registered
718 N MACOMB ST
MONROE, MI 48162
Monroe County (734) 240-5254
DR. SARAH HAMZA MD
Emergency Medicine
718 N MACOMB ST
MONROE, MI 48162
Monroe County (734) 240-8400
DR. JEFFERY A TRAGER DO
Emergency Medicine
718 N MACOMB ST
MONROE, MI 48162
Monroe County (734) 240-4435
CHRISTOPHER JACOB POPE
Family Medicine
718 N MACOMB ST
MONROE, MI 48162
Monroe County (734) 240-8400

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 Apekchaya Pokharel's NPI number?

The NPI number for Apekchaya Pokharel is 1124698592. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Apekchaya Pokharel located?

Apekchaya Pokharel practices at 718 N Macomb St, Monroe, MI 48162. The listed phone number is (734) 240-8400.

What is Apekchaya Pokharel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Apekchaya Pokharel enrolled in Medicare?

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

Which organizations bill Medicare for Apekchaya Pokharel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Apekchaya Pokharel reassigns Medicare benefits to 6 organizations: Mercy Emergency Care Services, Inc. (Toledo, OH), Emergency Professionals Of Indiana, P.C. (Fort Wayne, IN), Ohio Emergency Professionals Inc (Columbus, OH), Emergency Professional Services, Inc. (Seaman, OH), Aspirus Riverview Hospital & Clinics, Inc. (Adams, WI) and 1 more organization, listed in the Medicare section above. 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 Apekchaya Pokharel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Apekchaya Pokharel accept?

Health plans from Oscar Health Maintenance Organization of Florida list Apekchaya 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.

When was this NPI record last updated?

The NPPES record for Apekchaya Pokharel was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.