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DR. DEEP ADHIKARI M.D.
NPI 1487821989
Internal Medicine - Nephrology in Warner Robins, GA

Active since May 13, 2008PECOS EnrolledAccepts Medicare Assignment
105 TOMMY STALNAKER DR, SUITE 1, WARNER ROBINS, GA 31088(478) 333-3612(478) 333-3631 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Deep Adhikari M.d. NPPES

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

DR. DEEP ADHIKARI M.D. (NPI 1487821989) is an individual nephrology provider in Warner Robins, Georgia, licensed in Georgia (70025) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1487821989
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. DEEP ADHIKARICredential: M.D.
Location Address105 TOMMY STALNAKER DR, SUITE 1Warner Robins, GA 31088-8956
Mailing Address105 Tommy Stalnaker Dr, Suite 1Warner Robins, GA 31088-8956 · (478) 333-3612 · Fax (478) 333-3631
Phone(478) 333-3612
Fax(478) 333-3631
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 13, 2008
Last NPPES UpdateMarch 25, 2015
✔ NPI 1487821989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 70025
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 70025 (GA)
105 TOMMY STALNAKER DR, Warner Robins, GA 31088
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Deep Adhikari 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 ID9931393246
PECOS Enrollment IDI20140320001192
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.

Medicare Billing Reassignment

Medicare enrollment records show Deep Adhikari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hypertension And Kidney Associates Of Middle Georgia, LLC
0.2 mi
Nephrology
105 TOMMY STALNAKER DR, SUITE 1
Warner Robins, GA 31088
  • Reassigned Medicare billing, Georgia enrollment
  • 5 clinicians in this Medicare group
NPI 1508061151 (478) 333-3612

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
431 services298 patients
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.
305 services203 patients
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.
254 services123 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
225 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
184 services95 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.
125 services121 patients

Hospital Affiliations CMS Care Compare 2

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Atrium Health Navicent Peach

Critical Access Hospitals · Byron, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111310
Location1960 Highway 247 ConnectorByron, GA 31008 · Peach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31088 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%438 patients5/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%200 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,353 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%595 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
65%54 patients3/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%24 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
94%296 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
98%43 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
100%368 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%296 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%296 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

HYPERTENSION AND KIDNEY ASSOCIATES OF MIDDLE GEORGIA, LLC
Internal Medicine (Nephrology)
105 TOMMY STALNAKER DR, SUITE 1
WARNER ROBINS, GA 31088
Houston County (478) 333-3612
WARNER ROBINS DIALYSIS CENTER LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
105 TOMMY STALNAKER DR, SUITE 100
WARNER ROBINS, GA 31088
Houston County (478) 953-3638
MOHAMMAD A ASLAM M.D.
Internal Medicine (Nephrology)
105 TOMMY STALNAKER DR, SUITE 1
WARNER ROBINS, GA 31088
Houston County (478) 333-3612
IYAD B BARAKAT MD
Internal Medicine (Nephrology)
105 TOMMY STALNAKER DR, SUITE 1
WARNER ROBINS, GA 31088
Houston County (478) 333-3612

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 Deep Adhikari's NPI number?

The NPI number for Deep Adhikari is 1487821989. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Where is Deep Adhikari located?

Deep Adhikari practices at 105 Tommy Stalnaker Dr Suite 1, Warner Robins, GA 31088. The listed phone number is (478) 333-3612.

What is Deep Adhikari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Deep Adhikari enrolled in Medicare?

Yes. Deep Adhikari 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.

Which organization bills Medicare for Deep Adhikari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deep Adhikari reassigns Medicare benefits to Hypertension And Kidney Associates Of Middle Georgia, LLC (Warner Robins, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deep Adhikari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deep Adhikari accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Deep Adhikari 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 Deep Adhikari affiliated with any hospitals?

According to CMS data, Deep Adhikari is affiliated with Houston Healthcare and Atrium Health Navicent Peach.

When was this NPI record last updated?

The NPPES record for Deep Adhikari was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.