Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PUNYA HARI DAHAL M.D.
NPI 1164875985
Internal Medicine - Sports Medicine in Kernersville, NC

Active since July 16, 2016PECOS Enrolled
77.55/100
CMS Quality Rating
291 BROAD ST, KERNERSVILLE, NC 27284(336) 993-8181(336) 996-9538 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 8, 2026, Sep 15, 2026, Feb 11, 2022 and 1 more (4 updates tracked since 2016).

About Punya Hari Dahal M.d. NPPES

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

PUNYA HARI DAHAL M.D. (NPI 1164875985) is an individual sports medicine provider in Kernersville, North Carolina, licensed in North Carolina (2026-04159) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Norfolk.

NPPES Registry Identity

NPI1164875985
Entity TypeIndividualMale
Primary Taxonomy207RS0010X
Provider Legal NamePUNYA HARI DAHALCredential: M.D.
Location Address291 BROAD STKernersville, NC 27284-2932
Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 993-8181 · Fax (336) 996-9538
Fax(336) 996-9538
Sole ProprietorNo
Enumeration DateJuly 16, 2016
Last NPPES UpdateOctober 8, 20264 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1164875985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0010X
License✔ Licensed in NC · 2026-04159
Definition
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.
Also ListedInternal MedicineTaxonomy 207R00000X · License 31574 (NE), 2026-04159 (NC)
291 BROAD ST, Kernersville, NC 27284

Secondary Practice Location 1

Location 12700 W Norfolk AveNorfolk, NE 68701-4438 · Phone (402) 378-4880

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Punya Hari Dahal M.d. 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

2

Medicare enrollment records show Punya Dahal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
2700 W NORFOLK AVE
Norfolk, NE 68701
  • Reassigned Medicare billing, Nebraska enrollment
  • 40 clinicians in this Medicare group
Family Medicine
110 N 29TH ST, SUITE 201
Norfolk, NE 68701
  • Reassigned Medicare billing, Nebraska enrollment
  • 252 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.

Areas of Expertise CMS Part B claims 8

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.
322 services158 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.
231 services138 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.
151 services148 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.
78 services77 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.
59 services33 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.
30 services30 patients

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.

77.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.77
Promoting Interoperability97
Improvement Activities40
Cost50.91

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

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
4 suppliers11 claims11 services$108.83 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.

Nurse Practitioner
291 BROAD ST
KERNERSVILLE, NC 27284
Nurse Practitioner
291 BROAD ST
KERNERSVILLE, NC 27284
Nurse Practitioner
291 BROAD ST
KERNERSVILLE, NC 27284
Internal Medicine (Rheumatology)
291 BROAD ST
KERNERSVILLE, NC 27284
Nurse Practitioner
291 BROAD ST
KERNERSVILLE, NC 27284
Pharmacist
291 BROAD ST
KERNERSVILLE, NC 27284
Nurse Practitioner (Family)
291 BROAD ST
KERNERSVILLE, NC 27284
Internal Medicine (Rheumatology)
291 BROAD ST
KERNERSVILLE, NC 27284

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 Punya Dahal's NPI number?

The NPI number for Punya Dahal is 1164875985. It was assigned to this individual provider in the NPPES registry on July 16, 2016.

Where is Punya Dahal located?

Punya Dahal practices at 291 Broad St, Kernersville, NC 27284. The listed phone number is (336) 993-8181.

What is Punya Dahal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Is Punya Dahal enrolled in Medicare?

Yes. Punya Dahal is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Punya Dahal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Punya Dahal reassigns Medicare benefits to 2 organizations: Faith Regional Health Services (Norfolk, NE) and Faith Regional Physician Services, LLC (Norfolk, NE). 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 Punya Dahal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Punya Dahal accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Avera Health Plans and Medica list Punya Dahal 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 Punya Dahal was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.