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RADHA BHANDARI DHAKAL NP
NPI 1396340519
Nurse Practitioner - Family in Milwaukee, WI

Active since December 04, 2020PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1155 N MAYFAIR RD, MILWAUKEE, WI 53226(414) 955-5990(414) 955-6282 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 8, 2022, Dec 9, 2020, Dec 4, 2020 (3 updates tracked since 2020).

About Radha Bhandari Dhakal Np NPPES

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

RADHA BHANDARI DHAKAL NP (NPI 1396340519) is an individual family provider in Milwaukee, Wisconsin, licensed in Wisconsin (10466-33) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396340519
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRADHA BHANDARI DHAKALCredential: NP
Location Address1155 N MAYFAIR RDMilwaukee, WI 53226-3462
Mailing Address1155 N Mayfair RdMilwaukee, WI 53226-3462 · (414) 955-5990 · Fax (414) 955-6282
Phone(414) 955-5990
Fax(414) 955-6282
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 4, 2020
Last NPPES UpdateFebruary 8, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
✔ NPI 1396340519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 10466-33
1155 N MAYFAIR RD, Milwaukee, WI 53226
Open in Google Maps ↗

Other Identifiers 1

Medicaid1396340519WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Medica and more.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

Radha Bhandari Dhakal Np 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 ID6800200395
PECOS Enrollment IDI20210125000521
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

KEVIN BOZYMSKI PHARMD, BCPS
Pharmacist (Psychiatric)
1155 N MAYFAIR RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8950
STEVEN BONDOW MD
Family Medicine
1155 N MAYFAIR RD, PLANK ROAD CLINIC
MILWAUKEE, WI 53226
Milwaukee County (414) 955-5990
MR. STEVEN C. MAJSTORAVICH PTA
Physical Therapy Assistant
1155 N MAYFAIR RD
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666
DR. SABINA DIEHR MD
Family Medicine
1155 N MAYFAIR RD, PLANK ROAD CLINIC
MILWAUKEE, WI 53226
Milwaukee County (414) 955-5990
DR. CHRISTOPHER E WOLFLA MD
Neurological Surgery
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD
MILWAUKEE, WI 53226
Milwaukee County (414) 805-9255
DR. PHILIP A NELSON MD
Physical Medicine & Rehabilitation
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD
MILWAUKEE, WI 53226
Milwaukee County (414) 456-7199
DR. MICHAEL DIMARCO JR. PSY.D.
Psychologist (Clinical)
1155 N MAYFAIR RD, THIRD FLOOR
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8900
MR. JOSEPH S. GOVEAS M.D.
Psychiatry & Neurology (Psychiatry)
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8900

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 Radha Dhakal's NPI number?

The NPI number for Radha Dhakal is 1396340519. It was assigned to this individual provider in the NPPES registry on December 4, 2020.

Where is Radha Dhakal located?

Radha Dhakal practices at 1155 N Mayfair Rd, Milwaukee, WI 53226. The listed phone number is (414) 955-5990.

What is Radha Dhakal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Radha Dhakal enrolled in Medicare?

Yes. Radha Dhakal 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 Radha Dhakal accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Medica and Network Health list Radha Dhakal 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.

When was this NPI record last updated?

The NPPES record for Radha Dhakal was last updated on February 8, 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.