ROSHAN GHIMIRE MD
NPI 1184936072
Family Medicine in Fayetteville, NY

Active since July 08, 2010PECOS EnrolledAccepts Medicare Assignment
4000 MEDICAL CENTER DR, SUITE 104, FAYETTEVILLE, NY 13066(315) 637-7878 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2023, Jun 1, 2023, Jun 8, 2020 (3 updates tracked since 2020).

About Roshan Ghimire Md NPPES

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

ROSHAN GHIMIRE MD (NPI 1184936072) is an individual family medicine provider in Fayetteville, New York, licensed in New York (317104) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1184936072
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROSHAN GHIMIRECredential: MD
Location Address4000 MEDICAL CENTER DR, SUITE 104Fayetteville, NY 13066
Mailing Address4000 Medical Center Dr, Suite 104Fayetteville, NY 13066 · (315) 637-7878
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 8, 2010
Last NPPES UpdateJune 20, 20233 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
NPI 1184936072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 317104
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4000 MEDICAL CENTER DR, Fayetteville, NY 13066

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

Roshan Ghimire 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 ID9335391135
PECOS Enrollment IDI20220806000037
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 18

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
119 services74 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
110 services78 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
86 services73 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
80 services49 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
76 services76 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
73 services64 patients

Hospital Affiliations CMS Care Compare 3

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

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Crouse Hospital

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330203
Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13066 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 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
2 suppliers13 claims13 services$16.18 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
3 suppliers26 claims26 services$75.53 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.

Acupuncturist
4000 MEDICAL CENTER DR, SUITE 209
FAYETTEVILLE, NY 13066
Clinic/Center (Physical Therapy)
4000 MEDICAL CENTER DR, STE 108
FAYETTEVILLE, NY 13066
Optometrist
4000 MEDICAL CENTER DR, SUITE 207
FAYETTEVILLE, NY 13066
Neurological Surgery
4000 MEDICAL CENTER DR, SUITE 108
FAYETTEVILLE, NY 13066
Nurse Practitioner (Family)
4000 MEDICAL CENTER DR, UNIT 110
FAYETTEVILLE, NY 13066
Pediatrics
4000 MEDICAL CENTER DR, SUITE 214
FAYETTEVILLE, NY 13066
Physician Assistant
4000 MEDICAL CENTER DR, SUITE 101 D
FAYETTEVILLE, NY 13066
Family Medicine
4000 MEDICAL CENTER DR, SUITE 104
FAYETTEVILLE, NY 13066

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 Roshan Ghimire's NPI number?

The NPI number for Roshan Ghimire is 1184936072. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Where is Roshan Ghimire located?

Roshan Ghimire practices at 4000 Medical Center Dr Suite 104, Fayetteville, NY 13066. The listed phone number is (315) 637-7878.

What is Roshan Ghimire's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Roshan Ghimire enrolled in Medicare?

Yes. Roshan Ghimire 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.

Is Roshan Ghimire affiliated with any hospitals?

According to CMS data, Roshan Ghimire is affiliated with St Joseph's Hospital Health Center, Crouse Hospital and University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Roshan Ghimire was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.