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GUNA SUBEDI M.D.
NPI 1598757221
Internal Medicine in Front Royal, VA

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
625 VIRGINIA AVE, FRONT ROYAL, VA 22630(540) 635-7991(540) 636-2516 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2021, Dec 14, 2020 (2 updates tracked since 2020).

About Guna Subedi M.d. NPPES

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

GUNA SUBEDI M.D. (NPI 1598757221) is an individual internal medicine provider in Front Royal, Virginia, licensed in Virginia (0101052506) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1598757221
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGUNA SUBEDICredential: M.D.
Location Address625 VIRGINIA AVEFront Royal, VA 22630-2717
Mailing Address625 Virginia AveFront Royal, VA 22630-2717 · (540) 635-7991 · Fax (540) 636-2516
Phone(540) 635-7991
Fax(540) 636-2516
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 18, 2005
Last NPPES UpdateMarch 12, 20212 updates tracked since enumeration
NPPES CertifiedMarch 12, 2021
✔ NPI 1598757221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101052506
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.
625 VIRGINIA AVE, Front Royal, VA 22630
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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 and accepts Medicare assignment

Guna Subedi 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 ID6709842404
PECOS Enrollment IDI20041204000074
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 Reassignments

2

Medicare enrollment records show Guna Subedi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Page Memorial Hospital, Inc.
Same address
Rural Health
625 VIRGINIA AVE
Front Royal, VA 22630
  • Reassigned Medicare billing, Virginia enrollment
  • 364 clinicians in this Medicare group
NPI 1083236970 (540) 635-7991
Warren Memorial Hospital, Inc.
0.5 mi
Rural Health
120 N. COMMERCE AVE, STE 103, 230, 245 AND 255
Front Royal, VA 22630
  • Reassigned Medicare billing, Virginia enrollment
  • 367 clinicians in this Medicare group
NPI 1457840183 (540) 635-0800

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

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
742 services548 patients

Hospital Affiliations CMS Care Compare 5

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491305
Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County
Emergency services

Page Memorial Hospital, Inc

Critical Access Hospitals · Luray, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number491307
Location200 Memorial DriveLuray, VA 22835 · Page County
Emergency services

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511311
Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22630 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers47 claims136 services$5.36 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers22 claims22 services$41.17 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers18 claims18 services$101.45 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers16 claims49 services$39.18 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers19 claims111 services$15.40 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers22 claims22 services$52.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

PAGE MEMORIAL HOSPITAL, INC.
Clinic/Center (Rural Health)
625 VIRGINIA AVE
FRONT ROYAL, VA 22630
Warren County (540) 635-7991
SHENANDOAH MEDICAL ASSOCIATES
Internal Medicine
625 VIRGINIA AVE
FRONT ROYAL, VA 22630
Warren County (540) 635-7991
RAJESH SUBEDI M.D.
Family Medicine
625 VIRGINIA AVE
FRONT ROYAL, VA 22630
Warren County (540) 635-7991
DR. JUDITH SUBEDI FREDERICKSEN MD
Family Medicine (Adult Medicine)
625 VIRGINIA AVE
FRONT ROYAL, VA 22630
Warren County (540) 635-7991
KHALID ALBEDRANI M.D.
Internal Medicine
625 VIRGINIA AVE
FRONT ROYAL, VA 22630
Warren County (540) 635-7991

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 Guna Subedi's NPI number?

The NPI number for Guna Subedi is 1598757221. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Guna Subedi located?

Guna Subedi practices at 625 Virginia Ave, Front Royal, VA 22630. The listed phone number is (540) 635-7991.

What is Guna Subedi's specialty?

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

Is Guna Subedi enrolled in Medicare?

Yes. Guna Subedi 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 organizations bill Medicare for Guna Subedi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guna Subedi reassigns Medicare benefits to 2 organizations: Page Memorial Hospital, Inc. (Front Royal, VA) and Warren Memorial Hospital, Inc. (Front Royal, VA). Each 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 Guna Subedi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Guna Subedi accept?

Health plans from CareSource list Guna Subedi 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 Guna Subedi affiliated with any hospitals?

According to CMS data, Guna Subedi is affiliated with Winchester Medical Center, Warren Memorial Hospital, Shenandoah Memorial Hospital, Page Memorial Hospital, Inc and Hampshire Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Guna Subedi was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.