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ASHBINA POKHAREL MD
NPI 1699397547
Internal Medicine in Indianapolis, IN

Active since May 14, 2020PECOS Enrolled
1120 W MICHIGAN STREET, GATCH HALL 370, INDIANAPOLIS, IN 46202(317) 274-7724(317) 274-7792 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Jul 19, 2023, May 14, 2020 (3 updates tracked since 2020).

About Ashbina Pokharel Md NPPES

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

ASHBINA POKHAREL MD (NPI 1699397547) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Michigan (4301509733) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699397547
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameASHBINA POKHARELCredential: MD
Location Address1120 W MICHIGAN STREET, GATCH HALL 370Indianapolis, IN 46202-5209
Mailing Address1120 W Michigan Street, Gatch Hall 370Indianapolis, IN 46202-5209 · (317) 274-7724 · Fax (317) 274-7792
Phone(317) 274-7724
Fax(317) 274-7792
Sole ProprietorYes
Enumeration DateMay 14, 2020
Last NPPES UpdateJune 28, 20243 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1699397547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MI · 4301509733✔ Licensed in MI · 4351046116
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.
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License 01093608A (IN)
1120 W MICHIGAN STREET, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashbina Pokharel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.
214 services91 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.
65 services63 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.
39 services39 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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.

Other Providers at the Same Location NPPES 2

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

FARRAH ANWAR
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1120 W MICHIGAN STREET, # CL365
INDIANAPOLIS, IN 46202
Marion County (317) 278-7826
DR. PRISCILLA M DE LA CRUZ MD
Internal Medicine (Pulmonary Disease)
1120 W MICHIGAN STREET, GATCH HALL CL 285
INDIANAPOLIS, IN 46202
Marion County (317) 278-0042

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 Ashbina Pokharel's NPI number?

The NPI number for Ashbina Pokharel is 1699397547. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Ashbina Pokharel located?

Ashbina Pokharel practices at 1120 W Michigan Street Gatch Hall 370, Indianapolis, IN 46202. The listed phone number is (317) 274-7724.

What is Ashbina Pokharel's specialty?

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

Is Ashbina Pokharel enrolled in Medicare?

Yes. Ashbina Pokharel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ashbina Pokharel was last updated on June 28, 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.