NIRMAL KHAREL MD
NPI 1215372297
Family Medicine in Daly City, CA

Active since May 06, 2013PECOS EnrolledAccepts Medicare Assignment
395 HICKEY BLVD, DALY CITY, CA 94015(650) 301-5860 Get Directions Write a Review

NPPES record last updated: October 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nirmal Kharel Md NPPES

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

NIRMAL KHAREL MD (NPI 1215372297) is an individual family medicine provider in Daly City, California, licensed in California (187677) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1215372297
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNIRMAL KHARELCredential: MD
Location Address395 HICKEY BLVDDaly City, CA 94015-2770
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 6, 2013
Last NPPES UpdateOctober 1, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1215372297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · 187677✔ Licensed in MN · 60256✔ Licensed in ND · RL12767
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
395 HICKEY BLVD, Daly City, CA 94015

Accepted 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

Nirmal Kharel 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 ID9638390636
PECOS Enrollment IDI20230913003574
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

2

Medicare enrollment records show Nirmal Kharel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Family Medicine
1352 MEBANE OAKS RD
Mebane, NC 27302
  • Reassigned Medicare billing, North Carolina enrollment
  • 636 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94015 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Obstetrics & Gynecology
395 HICKEY BLVD
DALY CITY, CA 94015
Pediatrics
395 HICKEY BLVD
DALY CITY, CA 94015
Optometrist
395 HICKEY BLVD
DALY CITY, CA 94015
Obstetrics & Gynecology
395 HICKEY BLVD
DALY CITY, CA 94015
Ophthalmology
395 HICKEY BLVD
DALY CITY, CA 94015
Internal Medicine
395 HICKEY BLVD
DALY CITY, CA 94015
Pharmacist
395 HICKEY BLVD
DALY CITY, CA 94015
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
395 HICKEY BLVD
DALY CITY, CA 94015

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 Nirmal Kharel's NPI number?

The NPI number for Nirmal Kharel is 1215372297. It was assigned to this individual provider in the NPPES registry on May 6, 2013.

Where is Nirmal Kharel located?

Nirmal Kharel practices at 395 Hickey Blvd, Daly City, CA 94015. The listed phone number is (650) 301-5860.

What is Nirmal Kharel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nirmal Kharel enrolled in Medicare?

Yes. Nirmal Kharel 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 Nirmal Kharel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nirmal Kharel reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (San Francisco, CA) and Duke University Affiliated Physicians, Inc. (Mebane, NC). 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 Nirmal Kharel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nirmal Kharel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Nirmal Kharel 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 Nirmal Kharel affiliated with any hospitals?

According to CMS data, Nirmal Kharel is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Nirmal Kharel was last updated on October 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.