BIPIN GHIMIRE MBBS
NPI 1215551924
Internal Medicine in Royal Oak, MI

Active since May 29, 2020PECOS EnrolledAccepts Medicare Assignment
3601 W THIRTEEN MILE RD, BEAUMONT HOSPITAL - ROYAL OAK, ROYAL OAK, MI 48073(248) 551-3000(248) 551-9425 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 16, 2023, Mar 10, 2022, Aug 6, 2020 and 2 more (5 updates tracked since 2020).

About Bipin Ghimire Mbbs NPPES

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

BIPIN GHIMIRE MBBS (NPI 1215551924) is an individual internal medicine provider in Royal Oak, Michigan, licensed in Michigan (4351046166) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1215551924
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBIPIN GHIMIRECredential: MBBS
Location Address3601 W THIRTEEN MILE RD, BEAUMONT HOSPITAL - ROYAL OAKRoyal Oak, MI 48073
Mailing Address3601 W Thirteen Mile Rd, Beaumont Hospital - Royal OakRoyal Oak, MI 48073 · (248) 551-3000 · Fax (248) 551-9425
Fax(248) 551-9425
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 29, 2020
Last NPPES UpdateMarch 10, 20225 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
✔ NPI 1215551924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4351046166
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.
3601 W THIRTEEN MILE RD, Royal Oak, MI 48073

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

Bipin Ghimire Mbbs 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 ID2466827498
PECOS Enrollment IDI20260901003648
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 Bipin Ghimire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
340 JAKE ALEXANDER BLVD W, STE 101
Salisbury, NC 28147
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 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.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 8

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

Radiology (Diagnostic Radiology)
3601 W THIRTEEN MILE RD
ROYAL OAK, MI 48073
Internal Medicine
3601 W THIRTEEN MILE RD, GME OFFIC
ROYAL OAK, MI 48073
Emergency Medicine
3601 W THIRTEEN MILE RD, GME OFFICE
ROYAL OAK, MI 48073
Internal Medicine
3601 W THIRTEEN MILE RD, GME OFFICE-BEAUMONT HOSPITAL-ROYAL OAK
ROYAL OAK, MI 48073
Internal Medicine
3601 W THIRTEEN MILE RD, BEAUMONT HOSPITAL - ROYAL OAK
ROYAL OAK, MI 48073
Physical Medicine & Rehabilitation
3601 W THIRTEEN MILE RD, GME OFFICE
ROYAL OAK, MI 48073
Emergency Medicine
3601 W THIRTEEN MILE RD, ATTN: EMERGENCY MEDICINE
ROYAL OAK, MI 48073
Student in an Organized Health Care Education/Training Program
3601 W THIRTEEN MILE RD, BEAUMONT HOSPITAL-ROYAL OAK
ROYAL OAK, MI 48073

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 Bipin Ghimire's NPI number?

The NPI number for Bipin Ghimire is 1215551924. It was assigned to this individual provider in the NPPES registry on May 29, 2020.

Where is Bipin Ghimire located?

Bipin Ghimire practices at 3601 W Thirteen Mile Rd Beaumont Hospital - Royal Oak, Royal Oak, MI 48073. The listed phone number is (248) 551-3000.

What is Bipin Ghimire's specialty?

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

Is Bipin Ghimire enrolled in Medicare?

Yes. Bipin Ghimire 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 Bipin Ghimire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bipin Ghimire reassigns Medicare benefits to The Charlotte-Mecklenburg Hospital Authority (Salisbury, NC). 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 Bipin Ghimire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bipin Ghimire accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Bipin Ghimire 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 Bipin Ghimire affiliated with any hospitals?

According to CMS data, Bipin Ghimire is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Bipin Ghimire was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.