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DR. SHANKER MANI GHIMIRE M.D.
NPI 1639325657
Hospitalist in Jersey City, NJ

Active since August 10, 2008PECOS EnrolledAccepts Medicare Assignment
355 GRAND ST, JERSEY CITY, NJ 07302(201) 915-2000 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shanker Mani Ghimire M.d. NPPES

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

DR. SHANKER MANI GHIMIRE M.D. (NPI 1639325657) is an individual hospitalist provider in Jersey City, New Jersey, licensed in New Jersey (25MA08450500) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1639325657
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. SHANKER MANI GHIMIRECredential: M.D.
Location Address355 GRAND STJersey City, NJ 07302-4321
Mailing Address355 Grand StJersey City, NJ 07302-4321 · (201) 915-2000
Phone(201) 915-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 10, 2008
Last NPPES UpdateMarch 30, 2021
NPPES CertifiedMarch 30, 2021
✔ NPI 1639325657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NJ · 25MA08450500
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2010-00872 (NC)
355 GRAND ST, Jersey City, NJ 07302
Open in Google Maps ↗

Other Identifiers 2

OtherP00718750NJ · Rrmcr
Medicaid0209147NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Dr. Shanker Mani Ghimire 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 ID1456409416
PECOS Enrollment IDI20100924001100
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 5

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.
241 services90 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
234 services104 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.
134 services131 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.
21 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07302 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers29 claims29 services$12.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers63 claims63 services$68.60 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$30.02 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 20

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

JERSEY CITY CRITICAL CARE ASSOCIATES
Specialist
355 GRAND ST, JERSEY CITY MEDICAL CENTER
JERSEY CITY, NJ 07302
Hudson County (908) 806-8224
SHERIDAN ANESTHESIA SERVICES OF NEW JERSEY PC
Anesthesiology
355 GRAND ST
JERSEY CITY, NJ 07302
Hudson County (201) 915-2000
SAIRA SHAH MD
Internal Medicine
355 GRAND ST, MEDICINE DEPT,3RD FLOOR
JERSEY CITY, NJ 07302
Hudson County (201) 915-2000
SUSAN E. O'BRIEN DO
Emergency Medicine
355 GRAND ST, JERSEY CITY MEDICAL CENTER
JERSEY CITY, NJ 07302
Hudson County (201) 915-2000
DR. JARED SAUL KROK M.D.
Internal Medicine
355 GRAND ST
JERSEY CITY, NJ 07302
Hudson County (201) 915-2431
ANIELLO SEMIOLI LSW
Social Worker
355 GRAND ST
JERSEY CITY, NJ 07302
Hudson County (201) 492-1296
SUMEETA BHOGAL MD
Student in an Organized Health Care Education/Training Program
355 GRAND ST
JERSEY CITY, NJ 07302
Hudson County (201) 915-2000
LIBERTY EMERGENCY MEDICAL ASSOCIATES LLC
Emergency Medicine
355 GRAND ST, JERSEY CITY MEDICAL CENTER ( EMERGENCY DEPARTMENT)
JERSEY CITY, NJ 07302
Hudson County (469) 401-2386

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 Shanker Ghimire's NPI number?

The NPI number for Shanker Ghimire is 1639325657. It was assigned to this individual provider in the NPPES registry on August 10, 2008.

Where is Shanker Ghimire located?

Shanker Ghimire practices at 355 Grand St, Jersey City, NJ 07302. The listed phone number is (201) 915-2000.

What is Shanker Ghimire's specialty?

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

Is Shanker Ghimire enrolled in Medicare?

Yes. Shanker Ghimire 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 Shanker Ghimire accept?

Health plans from Blue Cross and Blue Shield of NC list Shanker Ghimire 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 Shanker Ghimire affiliated with any hospitals?

According to CMS data, Shanker Ghimire is affiliated with Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Shanker Ghimire was last updated on March 30, 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.