MISS PRATIMA GHALE GURUNG R.N
NPI 1164795092
Nurse Practitioner - Family in Elmhurst, NY
About Miss Pratima Ghale Gurung R.n NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS PRATIMA GHALE GURUNG R.N (NPI 1164795092) is an individual family provider in Elmhurst, New York, licensed in New York (F343538-1) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Pratima Ghale Gurung R.n is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Pratima Gurung reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elmhurst, NY 11373
- Reassigned Medicare billing, New York enrollment
- 1,615 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11373 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ELMHURST, NY 11373
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 Pratima Gurung's NPI number?
The NPI number for Pratima Gurung is 1164795092. It was assigned to this individual provider in the NPPES registry on February 23, 2012.
Where is Pratima Gurung located?
Pratima Gurung practices at 7901 Broadway, Elmhurst, NY 11373. The listed phone number is (718) 334-5753.
What is Pratima Gurung's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pratima Gurung enrolled in Medicare?
Yes. Pratima Gurung is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Pratima Gurung's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pratima Gurung reassigns Medicare benefits to New York City Health And Hospitals Corporation (Elmhurst, NY). The 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 Pratima Gurung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Pratima Gurung was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Miss Pratima Ghale Gurung, R.N · NPI 1164795092
Family physician in Elmhurst, New York. Individual provider, active in the CMS NPPES registry since February 23, 2012.
## Identity
- **NPI:** 1164795092 (Entity type: Individual)
- **Enumerated:** February 23, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F343538-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7901 BROADWAY, Elmhurst, NY 11373-1329
- **Phone:** (718) 334-5753 · **Fax:** (718) 334-2879
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York City Health And Hospitals Corporation (NPI 1063426377, Elmhurst, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1164795092) · Data from the CMS NPPES public registry.