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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HRIDAYA BIBHU GHIMIRE
NPI 1427755933
Internal Medicine in Hagerstown, MD

Active since February 14, 2023PECOS Enrolled
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742(301) 790-8804 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 17, 2026, Feb 14, 2023 (2 updates tracked since 2023).

About Hridaya Bibhu Ghimire NPPES

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

HRIDAYA BIBHU GHIMIRE (NPI 1427755933) is an individual internal medicine provider in Hagerstown, Maryland, licensed in Maryland (D0106991) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427755933
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHRIDAYA BIBHU GHIMIRE
Location Address11116 MEDICAL CAMPUS RDHagerstown, MD 21742-6710
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710 · (301) 790-8804
Phone(301) 790-8804
Sole ProprietorNo
Enumeration DateFebruary 14, 2023
Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1427755933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0106991
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11116 MEDICAL CAMPUS RD, Hagerstown, MD 21742
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Secondary Practice Locations 2

Location 111110 Medical Campus Rd Ste 150Hagerstown, MD 21742-6755 · Phone (301) 665-4825
Location 2327 Beach 19th StFar Rockaway, NY 11691-4423 · Phone (718) 869-7672

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hridaya Bibhu Ghimire is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 21742 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 20

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

ALLEN L TWIGG LCPC
Counselor (Professional)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 766-7600
HANNAH KAY COLE DNP, FNP-C, CCRN
Nurse Practitioner (Critical Care Medicine)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 790-8000
MS. PATTI KAY COOPER LCSW-C
Social Worker (Clinical)
11116 MEDICAL CAMPUS RD, SUITE 2989
HAGERSTOWN, MD 21742
Washington County (301) 766-7600
TARA BAKER
Nurse Practitioner (Family)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 667-0041
RACHEL ANNE KNICLEY MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 491-2332
ERIKA SPINKS FNP
Nurse Practitioner
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 790-8000
HELMSON B LOUISDOR DO
Student in an Organized Health Care Education/Training Program
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (240) 313-9554
MRS. JUDITH ANNE STAMBAUGH FNP-BC
Nurse Practitioner (Family)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 790-8804

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 Hridaya Ghimire's NPI number?

The NPI number for Hridaya Ghimire is 1427755933. It was assigned to this individual provider in the NPPES registry on February 14, 2023.

Where is Hridaya Ghimire located?

Hridaya Ghimire practices at 11116 Medical Campus Rd, Hagerstown, MD 21742. The listed phone number is (301) 790-8804.

What is Hridaya Ghimire's specialty?

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

Is Hridaya Ghimire enrolled in Medicare?

Yes. Hridaya Ghimire is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hridaya Ghimire was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.