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PRAVASH KUMAR DHAKAL M.D.
NPI 1194214874
Internal Medicine in Tampa, FL

Active since May 08, 2018PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
4278 W LINEBAUGH AVE STE B, TAMPA, FL 33624(813) 960-3321(813) 264-7532 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2025, May 22, 2025, May 8, 2018 (3 updates tracked since 2018).

About Pravash Kumar Dhakal M.d. NPPES

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

PRAVASH KUMAR DHAKAL M.D. (NPI 1194214874) is an individual internal medicine provider in Tampa, Florida, licensed in Florida (ME172508) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Tampa, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1194214874
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRAVASH KUMAR DHAKALCredential: M.D.
Location Address4278 W LINEBAUGH AVE STE BTampa, FL 33624-5241
Mailing Address4278 W Linebaugh Ave Ste BTampa, FL 33624-5241 · (813) 960-3321 · Fax (813) 264-7532
Phone(813) 960-3321
Fax(813) 264-7532
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 8, 2018
Last NPPES UpdateAugust 29, 20253 updates tracked since enumeration
NPPES CertifiedAugust 29, 2025
✔ NPI 1194214874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME172508✔ Licensed in NY · 31270101✔ Licensed in PA · MD475502
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.
4278 W LINEBAUGH AVE STE B, Tampa, FL 33624
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pravash Kumar Dhakal 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 ID6204187172
PECOS Enrollment IDI20250523002046
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

5

Medicare enrollment records show Pravash Dhakal reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Hospital Physician Group Inc
5.8 mi
Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
NPI 1174955256 (813) 336-5766
Sun State Hospitalists LLC
19 mi
Nephrology
100 OAKMONT LN, UNIT 104
Belleair, FL 33756
  • Reassigned Medicare billing, Florida enrollment
  • 35 clinicians in this Medicare group
NPI 1750634556 (617) 797-6307
Wellmed Medical Management Of Florida Inc
138 mi
Family Medicine
549 NW LAKE WHITNEY PLACE, BLDG I, SUITE 101
Port St Lucie, FL 34986
  • Reassigned Medicare billing, Florida enrollment
  • 187 clinicians in this Medicare group
NPI 1033395397 (210) 617-4706
Medassist Nj II
957 mi
Geriatric Medicine
419 E COUNTY LINE RD
Lakewood, NJ 08701
  • Reassigned Medicare billing, New York and Pennsylvania enrollments
  • 31 clinicians in this Medicare group
NPI 1336928407 (917) 882-4536
Guthrie Medical Group, P.C.
990 mi
Family Medicine
110 PLAZA LN
Wellsboro, PA 16901
  • Reassigned Medicare billing, Pennsylvania and New York enrollments
  • Medicare enrollment name: Guthrie Medical Group PC
  • Also billed through NPI 1245246644 (New York)
  • 830 clinicians in this Medicare group
NPI 1952350167 (570) 724-4241

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 6

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.
351 services152 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.
163 services156 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.
125 services77 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.
60 services59 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.
26 services26 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.
26 services13 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33624 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers11 claims11 services$20.40 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 suppliers11 claims11 services$113.13 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$12.55 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 3

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

RENEE M WOEHRER MD
Internal Medicine
4278 W LINEBAUGH AVE STE B
TAMPA, FL 33624
Hillsborough County (813) 960-3321
DR. JOHN FRANCIS SZAFRANSKI D.O.
Family Medicine (Hospice and Palliative Medicine)
4278 W LINEBAUGH AVE STE B
TAMPA, FL 33624
Hillsborough County (813) 960-3321
PUJA KOHLI MD
Internal Medicine
4278 W LINEBAUGH AVE STE B
TAMPA, FL 33624
Hillsborough County (813) 960-3321

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 Pravash Dhakal's NPI number?

The NPI number for Pravash Dhakal is 1194214874. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Where is Pravash Dhakal located?

Pravash Dhakal practices at 4278 W Linebaugh Ave Ste B, Tampa, FL 33624. The listed phone number is (813) 960-3321.

What is Pravash Dhakal's specialty?

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

Is Pravash Dhakal enrolled in Medicare?

Yes. Pravash Dhakal 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.

Which organizations bill Medicare for Pravash Dhakal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pravash Dhakal reassigns Medicare benefits to 5 organizations: Florida Hospital Physician Group Inc (Tampa, FL), Sun State Hospitalists LLC (Belleair, FL), Wellmed Medical Management Of Florida Inc (Port St Lucie, FL), Medassist Nj II (Lakewood, NJ) and Guthrie Medical Group, P.C. (Wellsboro, PA). 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 Pravash Dhakal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Pravash Dhakal affiliated with any hospitals?

According to CMS data, Pravash Dhakal is affiliated with Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Pravash Dhakal was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.