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SANTOSH GHIMIRE M.D.
NPI 1386031342
Psychiatry & Neurology - Psychiatry in Glen Burnie, MD

Active since April 16, 2015PECOS EnrolledAccepts Medicare Assignment
301 HOSPITAL DR, GLEN BURNIE, MD 21061(410) 787-4490 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 21, 2019, Aug 5, 2019 (2 updates tracked since 2019).

About Santosh Ghimire M.d. NPPES

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

SANTOSH GHIMIRE M.D. (NPI 1386031342) is an individual psychiatry provider in Glen Burnie, Maryland, licensed in Maryland (D86921) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with University Of Md Baltimore Washington Medical Center, and maintains a secondary practice location in East Meadow.

NPPES Registry Identity

NPI1386031342
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSANTOSH GHIMIRECredential: M.D.
Location Address301 HOSPITAL DRGlen Burnie, MD 21061-5803
Mailing Address848 Newark Ave, Apt 3rJersey City, NJ 07306-5134 · (646) 240-1870
Phone(410) 787-4490
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 16, 2015
Last NPPES UpdateOctober 21, 20192 updates tracked since enumeration
✔ NPI 1386031342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MD · D86921
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
301 HOSPITAL DR, Glen Burnie, MD 21061
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Secondary Practice Location 1

Location 12201 Hempstead TpkeEast Meadow, NY 11554-1859 · Phone (516) 572-0123

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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

Santosh Ghimire M.d. 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 ID143568253
PECOS Enrollment IDI20190826002760
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 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.
133 services23 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.
17 services16 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

University Of MD Baltimore Washington Medical Center

Acute Care Hospitals · Glen Burnie, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210043
Location301 Hospital DriveGlen Burnie, MD 21061 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21061 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
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
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.

PARI MAJETHIA
Pharmacist (Ambulatory Care)
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 787-4786
MORGAN MERRYMAN CRNA
Nurse Anesthetist, Certified Registered
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 787-4000
MRS. THERESA EILEEN DEVEAUX CRNP
Nurse Practitioner (Acute Care)
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 553-8300
DR. STEPHEN JOSEPH HITTMAN D.O.
Pediatrics
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 787-4000
MR. BRIAN ROEDER P.A.-C
Physician Assistant (Surgical)
301 HOSPITAL DR, SUITE 803
GLEN BURNIE, MD 21061
Anne Arundel County (410) 553-8160
KARIM KHATIBI MD
Obstetrics & Gynecology
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 787-4000
DR. MARSHALL E. BENJAMIN M.D.
Surgery
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 553-8300
DR. DOROTHY P FEDIS M.D.
Emergency Medicine
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 787-4565

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 Santosh Ghimire's NPI number?

The NPI number for Santosh Ghimire is 1386031342. It was assigned to this individual provider in the NPPES registry on April 16, 2015.

Where is Santosh Ghimire located?

Santosh Ghimire practices at 301 Hospital Dr, Glen Burnie, MD 21061. The listed phone number is (410) 787-4490.

What is Santosh Ghimire's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Santosh Ghimire enrolled in Medicare?

Yes. Santosh 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.

What insurance does Santosh Ghimire accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Santosh 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 Santosh Ghimire affiliated with any hospitals?

According to CMS data, Santosh Ghimire is affiliated with University Of MD Baltimore Washington Medical Center.

When was this NPI record last updated?

The NPPES record for Santosh Ghimire was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.