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MR. YADUNATH POKHAREL MD
NPI 1194251546
Internal Medicine in Waterloo, IA

Active since May 04, 2017PECOS EnrolledAccepts Medicare Assignment
3421 W 9TH ST, WATERLOO, IA 50702(319) 272-8349(319) 272-8355 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 22, 2026, Oct 15, 2021 (2 updates tracked since 2021).

About Mr. Yadunath Pokharel Md NPPES

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

MR. YADUNATH POKHAREL MD (NPI 1194251546) is an individual internal medicine provider in Waterloo, Iowa, licensed in Iowa (MD-48539) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Sartori Memorial Hospital, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194251546
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. YADUNATH POKHARELCredential: MD
Location Address3421 W 9TH STWaterloo, IA 50702-5401
Mailing Address3421 W 9th StWaterloo, IA 50702-5401 · (319) 272-7304 · Fax (319) 272-7318
Phone(319) 272-8349
Fax(319) 272-8355
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 4, 2017
Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1194251546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IA · MD-48539
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.
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License MD-48539 (IA)
3421 W 9TH ST, Waterloo, IA 50702
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Secondary Practice Locations 2

Location 1515 College StCedar Falls, IA 50613-2500 · Phone (319) 268-3000 · Fax (319) 272-8355
Location 2516 S Division Street, Suite #110Cedar Falls, IA 50613 · Phone (319) 268-3550

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

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

Mr. Yadunath Pokharel 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 ID4385981588
PECOS Enrollment IDI20210817003458
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 Reassignment

Medicare enrollment records show Yadunath Pokharel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Medical Center Inc
Same address
Emergency Medicine
3421 W 9TH ST
Waterloo, IA 50702
  • Reassigned Medicare billing, Iowa enrollment
  • 271 clinicians in this Medicare group
NPI 1528009545 (319) 272-7600

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.

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.
436 services230 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.
135 services108 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
124 services25 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.
83 services83 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
56 services56 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Sartori Memorial Hospital, Inc

Acute Care Hospitals · Cedar Falls, IA
OwnershipVoluntary non-profit - Church
CMS Certification Number160040
Location515 College StreetCedar Falls, IA 50613 · Black Hawk County
Emergency services

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160067
Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County
Emergency services Birthing friendly

Mercyone Oelwein Medical Center

Critical Access Hospitals · Oelwein, IA
OwnershipVoluntary non-profit - Church
CMS Certification Number161338
Location201 Eighth Avenue SEOelwein, IA 50662 · Fayette County
Emergency services

Waverly Health Center

Critical Access Hospitals · Waverly, IA
OwnershipGovernment - Local
CMS Certification Number161339
Location312 9th Street SWWaverly, IA 50677 · Bremer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers11 claims62 services$2.55 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 20

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

PAUL FRANKE M.D.
Internal Medicine
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 272-5655
DR. MICHELLE NICOLE KOMPARE MD
Pediatrics (Neonatal-Perinatal Medicine)
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 272-8000
MARCIA A RELLIHAN D.O.
Nurse Practitioner (Obstetrics & Gynecology)
3421 W 9TH ST, SUITE G4500
WATERLOO, IA 50702
Black Hawk County (319) 233-8865
KRISTA RAE MILLER CNM
Advanced Practice Midwife
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 272-8000
MARY A STEFFENSMEIER
Dietitian, Registered (Nutrition, Sports Dietetics)
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 272-5859
KEVIN J DIRKSEN ARNP
Nurse Practitioner (Acute Care)
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (757) 561-4487
DR. RACHELLE ALEXANDRA MAKINDE MD
Anesthesiology
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 272-5000
LEVI EDWARD ANDREWS DPM
Podiatrist
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 272-2112

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 Yadunath Pokharel's NPI number?

The NPI number for Yadunath Pokharel is 1194251546. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Where is Yadunath Pokharel located?

Yadunath Pokharel practices at 3421 W 9th St, Waterloo, IA 50702. The listed phone number is (319) 272-8349.

What is Yadunath Pokharel's specialty?

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

Is Yadunath Pokharel enrolled in Medicare?

Yes. Yadunath Pokharel 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 organization bills Medicare for Yadunath Pokharel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yadunath Pokharel reassigns Medicare benefits to Covenant Medical Center Inc (Waterloo, IA). The 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 Yadunath Pokharel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yadunath Pokharel accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Yadunath Pokharel 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 Yadunath Pokharel affiliated with any hospitals?

According to CMS data, Yadunath Pokharel is affiliated with Sartori Memorial Hospital, Inc, Mercyone Waterloo Medical Center, Mercyone Oelwein Medical Center and Waverly Health Center.

When was this NPI record last updated?

The NPPES record for Yadunath Pokharel was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.