MUKTA GAUTAM-DHAKAL
NPI 1275034837
Nurse Practitioner - Psychiatric/Mental Health in Reston, VA

Q: What is Mukta Gautam-dhakal's NPI number?

The NPI number for Mukta Gautam-dhakal is 1275034837. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Q: What is Mukta Gautam-dhakal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since February 27, 2018PECOS EnrolledAccepts Medicare Assignment

12359 SUNRISE VALLEY DR STE 320, RESTON, VA 20191(703) 596-4796 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 9, 2021, Feb 3, 2021, Jan 24, 2021 and 1 more (4 updates tracked since 2018).

On this page

About Mukta Gautam-dhakal NPPES

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

MUKTA GAUTAM-DHAKAL (NPI 1275034837) is an individual psychiatric/mental health provider in Reston, Virginia, licensed in Virginia (0024177376) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elizabeth, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1275034837

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMUKTA GAUTAM-DHAKAL

Location Address12359 SUNRISE VALLEY DR STE 320Reston, VA 20191-3463

Mailing Address364 Williamson St Apt C5Elizabeth, NJ 07202-3663 · (201) 315-5855

Phone(703) 596-4796

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 27, 2018

Last NPPES UpdateFebruary 9, 20214 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2021

✔ NPI 1275034837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in VA · 0024177376

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 26NJ00806800 (NJ)

12359 SUNRISE VALLEY DR STE 320, Reston, VA 20191

Open in Google Maps ↗

Secondary Practice Location 1

Location 1240 Williamson St Ste 203Elizabeth, NJ 07202-3671 · Phone (732) 491-9597

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Mukta Gautam-dhakal 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 ID7517220759

PECOS Enrollment IDI20210818000541

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 3

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.

147 services31 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

19 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20191 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

Leave this field empty

Other Providers at the Same Location NPPES 13

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

CROSSROAD CLINICS PLC

Psychiatry & Neurology (Psychiatry)