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RAJU KHANAL M.D.
NPI 1134560568
Internal Medicine in Leesburg, VA

Active since July 15, 2013PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
44045 RIVERSIDE PKWY, LEESBURG, VA 20176(703) 858-6000(703) 858-6900 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2022, Jul 20, 2020 (2 updates tracked since 2020).

About Raju Khanal M.d. NPPES

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

RAJU KHANAL M.D. (NPI 1134560568) is an individual internal medicine provider in Leesburg, Virginia, licensed in Virginia (0101266317) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1134560568
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAJU KHANALCredential: M.D.
Location Address44045 RIVERSIDE PKWYLeesburg, VA 20176-5101
Mailing AddressPo Box 37174Baltimore, MD 21297-3174 · (571) 423-5699 · Fax (571) 423-5698
Phone(703) 858-6000
Fax(703) 858-6900
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 15, 2013
Last NPPES UpdateJanuary 7, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2022
✔ NPI 1134560568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101266317
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
44045 RIVERSIDE PKWY, Leesburg, VA 20176
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Secondary Practice Locations 4

Location 11840 Amherst StWinchester, VA 22601-2808 · Phone (540) 536-4334
Location 26th Avenue & Spruce StreetWest Reading, PA 19611 · Phone (484) 628-8640
Location 32501 Parkers LnAlexandria, VA 22306-3209 · Phone (703) 664-7000 · Fax (703) 664-7666
Location 43300 Gallows RdFalls Church, VA 22042-3307 · Phone (703) 776-4001 · Fax (703) 776-7113

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raju Khanal 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 ID5193018315
PECOS Enrollment IDI20191001000320
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

4

Medicare enrollment records show Raju Khanal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inova Health Care Services
16 mi
Urgent Care
100 MAPLE AVE E
Vienna, VA 22180
  • Reassigned Medicare billing, Virginia and District of Columbia enrollments
  • Also billed through NPI 1669511051 (District of Columbia)
  • 2,379 clinicians in this Medicare group
NPI 1275886418 (703) 938-5300
Hospitalist Medicine Physicians Of Virginia LLC
39 mi
Internal Medicine
1840 AMHERST ST
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 371 clinicians in this Medicare group
NPI 1770756991 (540) 536-4334
Hospitalist Medicine Physicians Of Fredericksburg, LLC
53 mi
Internal Medicine
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 258 clinicians in this Medicare group
NPI 1447577572 (330) 493-4443
Tower Health Medical Group
118 mi
Sports Medicine
1350 BROADCASTING RD STE 201
Wyomissing, PA 19610
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
NPI 1891036166 (610) 685-9600

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 4

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 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.
431 services251 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.
290 services280 patients
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.
256 services169 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

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
6 suppliers39 claims39 services$16.09 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
6 suppliers53 claims53 services$89.05 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.

MUNIRA DABHIYA MD
Internal Medicine
44045 RIVERSIDE PKWY
LEESBURG, VA 20176
Loudoun County (703) 858-6000
DR. JOSHUA JAMES WIND M.D.
Neurological Surgery
44045 RIVERSIDE PKWY
LEESBURG, VA 20176
Loudoun County (703) 858-6000
TAYLOR HELENE LUNA
Registered Nurse
44045 RIVERSIDE PKWY
LEESBURG, VA 20176
Loudoun County (703) 858-6000
JENNIFER GUT
Nurse Anesthetist, Certified Registered
44045 RIVERSIDE PKWY
LEESBURG, VA 20176
Loudoun County (703) 858-6000
DR. WILLIAM PAUL HARRIS MD
Anesthesiology
44045 RIVERSIDE PKWY
LEESBURG, VA 20176
Loudoun County (703) 858-6000
BENJAMIN HARRISON MCILWAINE MD
Family Medicine
44045 RIVERSIDE PKWY, INOVA LOUDOUN HOSPITAL
LEESBURG, VA 20176
Loudoun County (703) 858-6044
MR. ANDREW SANDERS JR. CRNA
Nurse Anesthetist, Certified Registered
44045 RIVERSIDE PKWY, INOVA LOUDOUN HOSPITAL
LEESBURG, VA 20176
Loudoun County (703) 858-6000
MS. MINTRA SARASUP CRNA
Nurse Anesthetist, Certified Registered
44045 RIVERSIDE PKWY
LEESBURG, VA 20176
Loudoun County (703) 858-6000

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 Raju Khanal's NPI number?

The NPI number for Raju Khanal is 1134560568. It was assigned to this individual provider in the NPPES registry on July 15, 2013.

Where is Raju Khanal located?

Raju Khanal practices at 44045 Riverside Pkwy, Leesburg, VA 20176. The listed phone number is (703) 858-6000.

What is Raju Khanal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raju Khanal enrolled in Medicare?

Yes. Raju Khanal 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.

Which organizations bill Medicare for Raju Khanal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raju Khanal reassigns Medicare benefits to 4 organizations: Inova Health Care Services (Vienna, VA), Hospitalist Medicine Physicians Of Virginia LLC (Winchester, VA), Hospitalist Medicine Physicians Of Fredericksburg, LLC (Fredericksburg, VA) and Tower Health Medical Group (Wyomissing, PA). 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 Raju Khanal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Raju Khanal affiliated with any hospitals?

According to CMS data, Raju Khanal is affiliated with Inova Loudoun Hospital.

When was this NPI record last updated?

The NPPES record for Raju Khanal was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.