DHURBA PRASAD DHUNGANA MD
NPI 1689179822
Family Medicine - Sports Medicine in Charles Town, WV

Q: What is Dhurba Dhungana's NPI number?

The NPI number for Dhurba Dhungana is 1689179822. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Q: What is Dhurba Dhungana's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Dhurba Dhungana was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment

912 SOMERSET BLVD STE 101, CHARLES TOWN, WV 25414(304) 725-2663 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2025, Feb 20, 2023, Aug 25, 2021 and 1 more (4 updates tracked since 2018).

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About Dhurba Prasad Dhungana Md NPPES

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

DHURBA PRASAD DHUNGANA MD (NPI 1689179822) is an individual sports medicine provider in Charles Town, West Virginia, licensed in West Virginia (33552) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and maintains a secondary practice location in Tyrone.

NPPES Registry Identity

NPI1689179822

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDHURBA PRASAD DHUNGANACredential: MD

Location Address912 SOMERSET BLVD STE 101Charles Town, WV 25414-3954

Mailing Address154 Hospital Dr Ste 4Tyrone, PA 16686-1829

Phone(304) 725-2663

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateMarch 29, 2018

Last NPPES UpdateMarch 12, 20254 updates tracked since enumeration

NPPES CertifiedMarch 12, 2025

✔ NPI 1689179822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Licenses✔ Licensed in WV · 33552✔ Licensed in PA · MD478645

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License ME149222 (FL)

912 SOMERSET BLVD STE 101, Charles Town, WV 25414

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Secondary Practice Location 1

Location 1154 Hospital Dr Ste 4Tyrone, PA 16686-1829 · Phone (814) 684-1255

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dhurba Prasad 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 ID2961767389

PECOS Enrollment IDI20240522002936

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

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

West Virginia University Medical Corporation

2.3 mi

Family Medicine

300 S PRESTON ST
Ranson, WV 25438

Reassigned Medicare billing, West Virginia enrollment
2,471 clinicians in this Medicare group

NPI 1215785563 (304) 728-1795

City Hospital, Inc.

2.5 mi

Internal Medicine

207 E 5TH AVE
Ranson, WV 25438

Reassigned Medicare billing, West Virginia enrollment
231 clinicians in this Medicare group

NPI 1336657493 (304) 725-6777

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 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

23 services18 patients

Hospital Affiliations CMS Care Compare

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510008

Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25414 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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 7

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

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

Orthopaedic Surgery