MANISH GURAGAIN M.D.
NPI 1205069820
Internal Medicine in Harrisburg, PA

Active since August 30, 2009PECOS EnrolledAccepts Medicare Assignment
90.99/100
CMS Quality Rating
4300 LONDONDERRY RD, HARRISBURG, PA 17109(717) 231-8772(717) 231-8435 Get Directions Write a Review

NPPES record last updated: January 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 2, 2021, May 13, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Manish Guragain M.d. NPPES

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

MANISH GURAGAIN M.D. (NPI 1205069820) is an individual internal medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD440466) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and maintains a secondary practice location in West Reading.

NPPES Registry Identity

NPI1205069820
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMANISH GURAGAINCredential: M.D.
Location Address4300 LONDONDERRY RDHarrisburg, PA 17109
Mailing Address409 S 2nd St Ste 2fHarrisburg, PA 17104-1612 · (717) 231-8772 · Fax (717) 231-8435
Fax(717) 231-8435
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 30, 2009
Last NPPES UpdateJanuary 2, 20215 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2021
NPI 1205069820 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 PA · MD440466
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 ListedHospitalistTaxonomy 208M00000X · License MD440466 (PA)
4300 LONDONDERRY RD, Harrisburg, PA 17109

Secondary Practice Location 1

Location 16th Ave and Spruce StreetWest Reading, PA 19611 · Phone (610) 988-5455

Other Identifiers 1

Medicaid102609379PA

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

Manish Guragain 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 ID4587847603
PECOS Enrollment IDI20110328000734
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 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.
937 services212 patients
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.
230 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.
99 services98 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.
41 services41 patients

Hospital Affiliations CMS Care Compare

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17109 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

90.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.95
Promoting Interoperability100
Improvement Activities40
Cost77.03

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.

Orthopaedic Surgery
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Occupational Therapist
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Occupational Therapy Assistant
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Physical Therapist
4300 LONDONDERRY RD, 2ND FLOOR
HARRISBURG, PA 17109
Hospitalist
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Registered Nurse (Rehabilitation)
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Internal Medicine
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Internal Medicine
4300 LONDONDERRY RD
HARRISBURG, PA 17109

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 Manish Guragain's NPI number?

The NPI number for Manish Guragain is 1205069820. It was assigned to this individual provider in the NPPES registry on August 30, 2009.

Where is Manish Guragain located?

Manish Guragain practices at 4300 Londonderry Rd, Harrisburg, PA 17109. The listed phone number is (717) 231-8772.

What is Manish Guragain's specialty?

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

Is Manish Guragain enrolled in Medicare?

Yes. Manish Guragain 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 Manish Guragain affiliated with any hospitals?

According to CMS data, Manish Guragain is affiliated with Upmc Carlisle.

When was this NPI record last updated?

The NPPES record for Manish Guragain was last updated on January 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.