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DR. ASHMA DHAKAL
NPI 1538844089
Internal Medicine in Pikeville, KY

Active since June 21, 2023PECOS Enrolled
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501(606) 430-3500(606) 218-4697 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2026, Jun 21, 2023 (2 updates tracked since 2023).

About Dr. Ashma Dhakal NPPES

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

DR. ASHMA DHAKAL (NPI 1538844089) is an individual internal medicine provider in Pikeville, Kentucky, licensed in Kentucky (61616) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Abingdon.

NPPES Registry Identity

NPI1538844089
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ASHMA DHAKAL
Location Address911 BYPASS RD BLDG APikeville, KY 41501-1602
Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 430-9752 · Fax (606) 432-5422
Phone(606) 430-3500
Fax(606) 218-4697
Sole ProprietorNo
Enumeration DateJune 21, 2023
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1538844089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in KY · 61616✔ Licensed in VA · 0116038168
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.
911 BYPASS RD BLDG A, Pikeville, KY 41501
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Secondary Practice Location 1

Location 116000 Johnston Memorial DrAbingdon, VA 24211-7664 · Phone (276) 258-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ashma Dhakal 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 Ashma Dhakal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pikeville Medical Center Inc.
0.2 mi
Multi-Specialty
911 BYPASS RD BLDG A
Pikeville, KY 41501
  • Reassigned Medicare billing, Kentucky enrollment
  • 579 clinicians in this Medicare group
NPI 1528195864 (606) 430-3500

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 41501 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

MRS. WHITNEY P. BURTON PA-C
Physician Assistant
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-2201
DR. SHRAVANTI PONGALI MUTHU MD, MPH
Hospitalist
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-3500
AMY O JOHNSON MD
Surgery
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-2205
MATTHEW SEXTON M.D.
Anesthesiology (Critical Care Medicine)
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-3500
CAITLIN VICTORIA BERNIECE COLLIER
Nurse Practitioner (Family)
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-2208
BRIANNA I COLEMAN
Nurse Practitioner (Family)
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-2201
EMUESIRI CATHERINE OVWIGHO MD
Hospitalist
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-3500
TRULENA BENNER CRNA
Nurse Anesthetist, Certified Registered
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-3500

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 Ashma Dhakal's NPI number?

The NPI number for Ashma Dhakal is 1538844089. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Where is Ashma Dhakal located?

Ashma Dhakal practices at 911 Bypass Rd Bldg A, Pikeville, KY 41501. The listed phone number is (606) 430-3500.

What is Ashma Dhakal's specialty?

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

Is Ashma Dhakal enrolled in Medicare?

Yes. Ashma Dhakal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ashma Dhakal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashma Dhakal reassigns Medicare benefits to Pikeville Medical Center Inc. (Pikeville, KY). 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 Ashma Dhakal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashma Dhakal accept?

Health plans from CareSource list Ashma 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 Ashma Dhakal was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.