SANTOSH KUMAR DHUNGANA MD
NPI 1598324329
Hospitalist in High Point, NC

Active since June 05, 2019PECOS EnrolledAccepts Medicare Assignment
601 N ELM ST, HIGH POINT, NC 27262(336) 878-6000 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2024, Nov 6, 2023, Jun 5, 2019 (3 updates tracked since 2019).

About Santosh Kumar Dhungana Md NPPES

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

SANTOSH KUMAR DHUNGANA MD (NPI 1598324329) is an individual hospitalist provider in High Point, North Carolina, licensed in North Carolina (2022-01310) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with High Point Regional Health System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1598324329
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSANTOSH KUMAR DHUNGANACredential: MD
Location Address601 N ELM STHigh Point, NC 27262-4331
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 878-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 5, 2019
Last NPPES UpdateMarch 5, 20243 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
NPI 1598324329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NC · 2022-01310
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
601 N ELM ST, High Point, NC 27262

Secondary Practice Locations 2

Location 12 Hurley Plz Ste 2Flint, MI 48503-5903 · Phone (810) 262-9000
Location 22700 Wayne Memorial DrGoldsboro, NC 27534-9494 · Phone (919) 587-4394 · Fax (919) 587-2998

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Santosh Kumar Dhungana Md 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 ID5193100675
PECOS Enrollment IDI20220920001039
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.

Areas of Expertise CMS Part B claims 3

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.

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.
216 services83 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
63 services61 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

High Point Regional Health System

Acute Care Hospitals · High Point, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340004
Location601 N Elm StHigh Point, NC 27261 · Guilford County
Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27262 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Emergency Medicine
601 N ELM ST
HIGH POINT, NC 27262
Hospitalist
601 N ELM ST
HIGH POINT, NC 27262
Registered Nurse (Medical-Surgical)
601 N ELM ST
HIGH POINT, NC 27262
Durable Medical Equipment & Medical Supplies
601 N ELM ST
HIGH POINT, NC 27262
Nurse Practitioner
601 N ELM ST
HIGH POINT, NC 27262
Physician Assistant
601 N ELM ST
HIGH POINT, NC 27262
Nurse Anesthetist, Certified Registered
601 N ELM ST
HIGH POINT, NC 27262
Physician Assistant
601 N ELM ST
HIGH POINT, NC 27262

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 Santosh Dhungana's NPI number?

The NPI number for Santosh Dhungana is 1598324329. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Where is Santosh Dhungana located?

Santosh Dhungana practices at 601 N Elm St, High Point, NC 27262. The listed phone number is (336) 878-6000.

What is Santosh Dhungana's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Santosh Dhungana enrolled in Medicare?

Yes. Santosh Dhungana 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.

What insurance does Santosh Dhungana accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Santosh Dhungana 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 Santosh Dhungana affiliated with any hospitals?

According to CMS data, Santosh Dhungana is affiliated with High Point Regional Health System and North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Santosh Dhungana was last updated on March 5, 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.