SHIKHA RIJAL
NPI 1497429674
Pediatrics in Sharon, PA

Q: What is Shikha Rijal's NPI number?

The NPI number for Shikha Rijal is 1497429674. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Q: What is Shikha Rijal's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shikha Rijal was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since August 02, 2021PECOS Enrolled

63 PITT ST, SHARON, PA 16146(724) 342-4052(724) 342-4053 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2024, Aug 13, 2024, Aug 2, 2021 (3 updates tracked since 2021).

On this page

About Shikha Rijal NPPES

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

SHIKHA RIJAL (NPI 1497429674) is an individual pediatrics provider in Sharon, Pennsylvania, licensed in Pennsylvania (MD484252) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497429674

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSHIKHA RIJAL

Location Address63 PITT STSharon, PA 16146-2102

Mailing Address100 Shenango AveSharon, PA 16146-1503 · (724) 342-4052 · Fax (724) 342-4053

Phone(724) 342-4052

Fax(724) 342-4053

Sole ProprietorNo

Enumeration DateAugust 2, 2021

Last NPPES UpdateNovember 20, 20243 updates tracked since enumeration

NPPES CertifiedNovember 20, 2024

✔ NPI 1497429674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · MD484252

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

63 PITT ST, Sharon, PA 16146

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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 (PECOS)

Shikha Rijal 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.

Medicare Billing Reassignment

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

Primary Health Network

Same address

Federally Qualified Health Center (FQHC)

63 PITT ST
Sharon, PA 16146

Reassigned Medicare billing, Pennsylvania enrollment
164 clinicians in this Medicare group

NPI 1417932609 (724) 342-6604

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16146 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

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 20

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

GEORGE CAPELLA GARROW MD

Internal Medicine

63 PITT ST
SHARON, PA 16146

Mercer County (724) 342-6604

TONIA L SKAKALSKI D.O.

Obstetrics & Gynecology

63 PITT ST
SHARON, PA 16146

Mercer County (724) 981-4434

EASTON MARIA MCKINNEY CRNP

Nurse Practitioner (Family)

63 PITT ST
SHARON, PA 16146

Mercer County (724) 342-6604

STEPHEN FREDRICK SEDMAK

Counselor (Professional)

63 PITT ST
SHARON, PA 16146

Mercer County (724) 704-7272

JESSICA MCCANN

Nurse Practitioner (Family)

63 PITT ST
SHARON, PA 16146

Mercer County (724) 342-6604

TERRI LYNN PEARS LCSW

Social Worker (Clinical)

63 PITT ST
SHARON, PA 16146

Mercer County (724) 704-7272

ANNA STRIGHT

Counselor (Mental Health)

63 PITT ST
SHARON, PA 16146

Mercer County (724) 704-7272

RICHARD F HUMPHREY CRNP

Nurse Practitioner (Family)

63 PITT ST
SHARON, PA 16146

Mercer County (724) 981-4434

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 Shikha Rijal's NPI number?

The NPI number for Shikha Rijal is 1497429674. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Where is Shikha Rijal located?

Shikha Rijal practices at 63 Pitt St, Sharon, PA 16146. The listed phone number is (724) 342-4052.

What is Shikha Rijal's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shikha Rijal enrolled in Medicare?

Yes. Shikha Rijal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shikha Rijal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shikha Rijal reassigns Medicare benefits to Primary Health Network (Sharon, PA). 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 Shikha Rijal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shikha Rijal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Shikha Rijal 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 Shikha Rijal was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.