APEKCHAYA POKHAREL MD
NPI 1124698592
Emergency Medicine in Monroe, MI

Active since June 29, 2021PECOS EnrolledAccepts Medicare Assignment
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: August 02, 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, is affiliated with Blanchard Valley Hospital, 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
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
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

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

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

Apekchaya 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 ID1355742123
PECOS Enrollment IDI20240819003760
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 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

Hospital Affiliations CMS Care Compare 2

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

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360095
Location1900 South Main StreetFindlay, OH 45840 · Hancock County
Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

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.

Emergency Medicine
718 N MACOMB ST
MONROE, MI 48162
Student in an Organized Health Care Education/Training Program
718 N MACOMB ST
MONROE, MI 48162
Pharmacist (Ambulatory Care)
718 N MACOMB ST
MONROE, MI 48162
Family Medicine
718 N MACOMB ST
MONROE, MI 48162
Nurse Anesthetist, Certified Registered
718 N MACOMB ST
MONROE, MI 48162
Emergency Medicine
718 N MACOMB ST
MONROE, MI 48162
Emergency Medicine
718 N MACOMB ST
MONROE, MI 48162
Family Medicine
718 N MACOMB ST
MONROE, MI 48162

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Apekchaya Pokharel accept?

Health plans from Anthem Blue Cross and Blue Shield 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.

Is Apekchaya Pokharel affiliated with any hospitals?

According to CMS data, Apekchaya Pokharel is affiliated with Blanchard Valley Hospital and Mercy St Vincent Medical Center.

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 10 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.