MR. RABIN ADHIKARI MD
NPI 1205410610
Internal Medicine in Carlisle, PA

Q: What is Rabin Adhikari's NPI number?

The NPI number for Rabin Adhikari is 1205410610. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Q: What is Rabin Adhikari's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rabin Adhikari was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 11, 2021PECOS EnrolledAccepts Medicare Assignment

361 ALEXANDER SPRING RD, CARLISLE, PA 17015(717) 231-8772(717) 231-8435 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2024, Dec 28, 2021, May 11, 2021 (3 updates tracked since 2021).

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About Mr. Rabin Adhikari Md NPPES

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

MR. RABIN ADHIKARI MD (NPI 1205410610) is an individual internal medicine provider in Carlisle, Pennsylvania, licensed in Pennsylvania (MD484280) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and maintains a secondary practice location in Sayre.

NPPES Registry Identity

NPI1205410610

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMR. RABIN ADHIKARICredential: MD

Location Address361 ALEXANDER SPRING RDCarlisle, PA 17015-6940

Mailing Address361 Alexander Spring RdCarlisle, PA 17015-6940 · (717) 231-8772 · Fax (717) 231-8435

Phone(717) 231-8772

Fax(717) 231-8435

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 11, 2021

Last NPPES UpdateOctober 15, 20243 updates tracked since enumeration

NPPES CertifiedOctober 15, 2024

✔ NPI 1205410610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD484280

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.

361 ALEXANDER SPRING RD, Carlisle, PA 17015

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Secondary Practice Location 1

Location 1One Guthrie Square, Graduate Medical EducationSayre, PA 18840 · Phone (570) 888-6666

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. Rabin Adhikari 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 ID2961945365

PECOS Enrollment IDI20240613001888

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 Rabin Adhikari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pinnacle Health Hospitalist Services LLC

23 mi

Hospitalist

4300 LONDONDERRY RD
Harrisburg, PA 17109

Reassigned Medicare billing, Pennsylvania enrollment
322 clinicians in this Medicare group

NPI 1023458148 (717) 231-8772

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 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 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.

140 services87 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.

91 services90 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.

24 services24 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.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390067

Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17015 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.

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.

DEBORAH BIDDLE CRNA

Nurse Anesthetist, Certified Registered