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MENUKA PRASAIN DHAKAL FNP-C
NPI 1508691510
Family Medicine - Adult Medicine in Windcrest, TX

Active since September 09, 2024PECOS Enrolled
5253-2 WALZEM RD., WINDCREST, TX 78218(210) 876-1451 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Menuka Prasain Dhakal Fnp-c NPPES

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

MENUKA PRASAIN DHAKAL FNP-C (NPI 1508691510) is an individual adult medicine provider in Windcrest, Texas, licensed in Texas (1156110) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508691510
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameMENUKA PRASAIN DHAKALCredential: FNP-C
Location Address5253-2 WALZEM RD.Windcrest, TX 78218
Mailing Address5253-2 Walzem Rd.Windcrest, TX 78218 · (210) 876-1451
Phone(210) 876-1451
Sole ProprietorYes
Enumeration DateSeptember 9, 2024
NPPES CertifiedSeptember 8, 2024
✔ NPI 1508691510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in TX · 1156110
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
5253-2 WALZEM RD., Windcrest, TX 78218
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas 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)

Menuka Prasain Dhakal Fnp-c 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 Menuka Prasain Dhakal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carefront Medical Group, PLLC
18 mi
Internal Medicine
10423 STATE HIGHWAY 151 STE 103
San Antonio, TX 78251
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
NPI 1982169223 (210) 876-1451

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 78218 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Menuka Prasain Dhakal's NPI number?

The NPI number for Menuka Prasain Dhakal is 1508691510. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Menuka Prasain Dhakal located?

Menuka Prasain Dhakal practices at 5253-2 Walzem Rd., Windcrest, TX 78218. The listed phone number is (210) 876-1451.

What is Menuka Prasain Dhakal's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Menuka Prasain Dhakal enrolled in Medicare?

Yes. Menuka Prasain Dhakal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Menuka Prasain Dhakal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Menuka Prasain Dhakal reassigns Medicare benefits to Carefront Medical Group, PLLC (San Antonio, TX). 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 Menuka Prasain Dhakal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Menuka Prasain Dhakal accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Menuka Prasain 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 Menuka Prasain Dhakal was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.