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SHOBHA PARAJULI MD
NPI 1194000166
Pathology - Anatomic Pathology & Clinical Pathology in Cincinnati, OH

Active since October 20, 2011PECOS EnrolledAccepts Medicare Assignment
81.71/100
CMS Quality Rating
234 GOODMAN ST, CINCINNATI, OH 45219(513) 584-7284(513) 584-3807 Get Directions Write a Review

NPPES record last updated: June 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2021, Aug 1, 2018, Jul 25, 2018 and 1 more (4 updates tracked since 2017).

About Shobha Parajuli Md NPPES

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

SHOBHA PARAJULI MD (NPI 1194000166) is an individual anatomic pathology & clinical pathology provider in Cincinnati, Ohio, licensed in Ohio (35.133691) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1194000166
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameSHOBHA PARAJULICredential: MD
Location Address234 GOODMAN STCincinnati, OH 45219-2364
Mailing AddressPo Box 636256Cincinnati, OH 45263-6256 · (513) 245-3600 · Fax (513) 245-3600
Phone(513) 584-7284
Fax(513) 584-3807
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 20, 2011
Last NPPES UpdateJune 12, 20214 updates tracked since enumeration
NPPES CertifiedJune 12, 2021
✔ NPI 1194000166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in OH · 35.133691
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
234 GOODMAN ST, Cincinnati, OH 45219
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Shobha Parajuli 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 ID6103199328
PECOS Enrollment IDI20211208002096
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 19

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
663 services333 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
491 services113 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
158 services129 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
149 services101 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
102 services84 patients
Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416
This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.
87 services86 patients

Hospital Affiliations CMS Care Compare 5

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

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500019
Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County
Emergency services Birthing friendly

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Grays Harbor Community Hospital

Acute Care Hospitals · Aberdeen, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500031
Location915 Anderson DriveAberdeen, WA 98520 · Grays Harbor County
Emergency services Birthing friendly

Capital Medical Center

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500139
Location3900 Capital Mall Dr SWOlympia, WA 98502 · Thurston County
Emergency services Birthing friendly

Mason General Hospital & Family Of Clinics

Critical Access Hospitals · Shelton, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501336
Location901 Mt View DriveShelton, WA 98584 · Mason County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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.

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.

81.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities0
Cost89.05

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.

ALEXANDER TOPALA MD
Anesthesiology
234 GOODMAN ST, MAIL LOCATION 0796
CINCINNATI, OH 45219
Hamilton County (513) 584-1000
MELISSA T WESLEY CRNA
Nurse Anesthetist, Certified Registered
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-4194
DR. SAURABH CHANDRA MD
Internal Medicine (Critical Care Medicine)
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-1000
JOSEPH D PANDISCIA PA-C
Physician Assistant
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 475-8690
RACHEL BEAUPRE
Student in an Organized Health Care Education/Training Program
234 GOODMAN ST, THORACIC SURGERY
CINCINNATI, OH 45219
Hamilton County (513) 584-1387
KATIE DEAN
Nurse Anesthetist, Certified Registered
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-4194
MICHELLE CHAPMAN
Anesthesiology
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-6356
KAYLA BERTKE
Pharmacist
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 584-3468

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 Shobha Parajuli's NPI number?

The NPI number for Shobha Parajuli is 1194000166. It was assigned to this individual provider in the NPPES registry on October 20, 2011.

Where is Shobha Parajuli located?

Shobha Parajuli practices at 234 Goodman St, Cincinnati, OH 45219. The listed phone number is (513) 584-7284.

What is Shobha Parajuli's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Shobha Parajuli enrolled in Medicare?

Yes. Shobha Parajuli 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.

What insurance does Shobha Parajuli accept?

Health plans from CareSource list Shobha Parajuli 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.

Is Shobha Parajuli affiliated with any hospitals?

According to CMS data, Shobha Parajuli is affiliated with Providence Centralia Hospital, Providence St Peter Hospital, Grays Harbor Community Hospital, Capital Medical Center and Mason General Hospital & Family Of Clinics.

When was this NPI record last updated?

The NPPES record for Shobha Parajuli was last updated on June 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.