ANISH PAUDEL MD - NPI 1295396380 - Internal Medicine in Wyomissing, PA

Q: What is Anish Paudel's NPI number?

The NPI number for Anish Paudel is 1295396380. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Q: What is Anish Paudel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Anish Paudel was last updated on January 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Anish Paudel Md NPPES

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

ANISH PAUDEL MD (NPI 1295396380) is an individual gastroenterology provider in Wyomissing, Pennsylvania, licensed in Pennsylvania (MT217324) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1295396380

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameANISH PAUDELCredential: MD

Location Address1011 REED AVE STE 300Wyomissing, PA 19610-2002

Mailing Address1011 Reed Ave Ste 300Wyomissing, PA 19610-2002

Phone(610) 374-4401

Fax(610) 374-7916

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 28, 2019

Last NPPES UpdateJanuary 29, 2026

NPPES CertifiedJanuary 29, 2026

✔ NPI 1295396380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in PA · MT217324

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1011 REED AVE STE 300, Wyomissing, PA 19610

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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

Anish Paudel 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 ID8628304086

PECOS Enrollment IDI20250425001605

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.

Hospital Affiliations CMS Care Compare 2

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

Reading Hospital

Acute Care Hospitals · West Reading, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390044

Location420 S 5th AvenueWest Reading, PA 19611 · Berks County

Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390096

Location2500 Bernville RoadReading, PA 19605 · Berks County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19610 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 6

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

ABBY CATHERINE RATHMAN PA-C

Physician Assistant (Medical)