BISHAL KHANAL M.D.
NPI 1174044176
Internal Medicine in Youngstown, OH

Active since June 29, 2017PECOS EnrolledAccepts Medicare Assignment
500 GYPSY LANE, YOUNGSTOWN, OH 44501(330) 884-4250(330) 884-0651 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 27, 2020, Mar 13, 2018, Jun 29, 2017 (3 updates tracked since 2017).

About Bishal Khanal M.d. NPPES

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

BISHAL KHANAL M.D. (NPI 1174044176) is an individual internal medicine provider in Youngstown, Ohio, licensed in Connecticut (1.066769) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1174044176
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBISHAL KHANALCredential: M.D.
Location Address500 GYPSY LANEYoungstown, OH 44501
Mailing Address11 Anthony Rd Apt INew London, CT 06320-2455 · (330) 565-7277
Fax(330) 884-0651
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 29, 2017
Last NPPES UpdateOctober 27, 20203 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
NPI 1174044176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 1.066769
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.

500 GYPSY LANE, Youngstown, OH 44501

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

Bishal 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 ID2769894419
PECOS Enrollment IDI20201222001117, I20210929002655
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 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 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.
409 services148 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.
241 services86 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.
96 services96 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44501 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
1 supplier11 claims12 services$9.49 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$16.48 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
2 suppliers15 claims15 services$91.01 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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
500 GYPSY LANE
YOUNGSTOWN, OH 44501
Radiology (Radiation Oncology)
500 GYPSY LANE
YOUNGSTOWN, OH 44501
Student in an Organized Health Care Education/Training Program
500 GYPSY LANE
YOUNGSTOWN, OH 44501
Internal Medicine
500 GYPSY LANE
YOUNGSTOWN, OH 44501
Student in an Organized Health Care Education/Training Program
500 GYPSY LANE
YOUNGSTOWN, OH 44501
General Acute Care Hospital
500 GYPSY LANE
YOUNGSTOWN, OH 44501
Internal Medicine
500 GYPSY LANE
YOUNGSTOWN, OH 44501
Student in an Organized Health Care Education/Training Program
500 GYPSY LANE
YOUNGSTOWN, OH 44501

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 Bishal Khanal's NPI number?

The NPI number for Bishal Khanal is 1174044176. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Bishal Khanal located?

Bishal Khanal practices at 500 Gypsy Lane, Youngstown, OH 44501. The listed phone number is (330) 884-4250.

What is Bishal Khanal's specialty?

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

Is Bishal Khanal enrolled in Medicare?

Yes. Bishal 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.

When was this NPI record last updated?

The NPPES record for Bishal Khanal was last updated on October 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.