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DR. AJIT DHAKAL
NPI 1649558024
Internal Medicine in Richmond, IN

Active since August 02, 2011PECOS EnrolledAccepts Medicare Assignment
1100 REID PKWY, RICHMOND, IN 47374(765) 983-3000(765) 983-7958 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2024, Oct 19, 2021, May 13, 2021 and 4 more (7 updates tracked since 2015).

About Dr. Ajit Dhakal NPPES

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

DR. AJIT DHAKAL (NPI 1649558024) is an individual internal medicine provider in Richmond, Indiana, licensed in Indiana (01073558A) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Kokomo, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1649558024
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. AJIT DHAKAL
Location Address1100 REID PKWYRichmond, IN 47374-1157
Mailing Address2001 W 86th StIndianapolis, IN 46260-1902
Phone(765) 983-3000
Fax(765) 983-7958
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 2, 2011
Last NPPES UpdateSeptember 9, 20247 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1649558024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01073558A
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.
1100 REID PKWY, Richmond, IN 47374
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Other Identifiers 3

Other000000976649Anthem (reid Physician Associates, Inc.)
Medicaid0107898OH
Medicaid201233860IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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. Ajit Dhakal 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 ID9638394026
PECOS Enrollment IDI20140626001622
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 9

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.
316 services124 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.
160 services89 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.
106 services104 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
31 services31 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
29 services28 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Reid Health

Acute Care Hospitals · Richmond, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150048
Location1100 Reid PkwyRichmond, IN 47374 · Wayne County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47374 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 4

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 suppliers117 claims117 services$19.84 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier24 claims24 services$782.35 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
3 suppliers127 claims127 services$111.22 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$34.73 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.

JUSTIN VARGHESE
Internal Medicine
1100 REID PKWY
RICHMOND, IN 47374
Wayne County (765) 983-3000
MALLORY J CROSS PA
Student in an Organized Health Care Education/Training Program
1100 REID PKWY
RICHMOND, IN 47374
Wayne County (765) 983-3000
DR. JOHN E MCGINTY IV M.D.
Internal Medicine (Cardiovascular Disease)
1100 REID PKWY, SUITE 210
RICHMOND, IN 47374
Wayne County (765) 962-1337
THOMAS P. GLYNN JR. M.D.
Radiology (Diagnostic Radiology)
1100 REID PKWY
RICHMOND, IN 47374
Wayne County (765) 983-3000
SADIA KHAN MD
Student in an Organized Health Care Education/Training Program
1100 REID PKWY
RICHMOND, IN 47374
Wayne County (765) 983-3822
DR. TYLER BROOKS FREDENBURG MD
Radiology (Diagnostic Radiology)
1100 REID PKWY
RICHMOND, IN 47374
Wayne County (765) 983-3164
AHMAD S KHATRI MD
Family Medicine
1100 REID PKWY
RICHMOND, IN 47374
Wayne County (765) 983-3492
SHARON SMITH LAT, ATC
Specialist/Technologist (Athletic Trainer)
1100 REID PKWY
RICHMOND, IN 47374
Wayne County (765) 983-3000

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 Ajit Dhakal's NPI number?

The NPI number for Ajit Dhakal is 1649558024. It was assigned to this individual provider in the NPPES registry on August 2, 2011.

Where is Ajit Dhakal located?

Ajit Dhakal practices at 1100 Reid Pkwy, Richmond, IN 47374. The listed phone number is (765) 983-3000.

What is Ajit Dhakal's specialty?

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

Is Ajit Dhakal enrolled in Medicare?

Yes. Ajit Dhakal 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 Ajit Dhakal accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Ajit 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.

Is Ajit Dhakal affiliated with any hospitals?

According to CMS data, Ajit Dhakal is affiliated with Ascension St Vincent Kokomo, Reid Health and Ascension St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Ajit 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 23 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.