SASHANK POKHREL MD
NPI 1700034188
Family Medicine in Yorktown, VA

Active since August 28, 2008PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
209 VILLAGE AVE, YORKTOWN, VA 23693(757) 316-5050 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sashank Pokhrel Md NPPES

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

SASHANK POKHREL MD (NPI 1700034188) is an individual family medicine provider in Yorktown, Virginia, licensed in Virginia (0101274540) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1700034188
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSASHANK POKHRELCredential: MD
Location Address209 VILLAGE AVEYorktown, VA 23693-5639
Mailing Address856 J Clyde Morris Blvd Ste ANewport News, VA 23601-1318 · (757) 316-5800 · Fax (218) 847-0881
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 28, 2008
Last NPPES UpdateMay 17, 2022
NPPES CertifiedMay 17, 2022
NPI 1700034188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in VA · 0101274540 Licensed in MN · 53828 Licensed in MI · 4301093008
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
209 VILLAGE AVE, Yorktown, VA 23693

Other Identifiers 1

Medicaid1700034188MN

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

Sashank Pokhrel 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 ID9032383765
PECOS Enrollment IDI20220503001021
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 26

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.

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.
406 services149 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
220 services122 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
96 services81 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
81 services53 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
77 services68 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
75 services75 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23693 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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
7 suppliers17 claims42 services$5.68 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers13 claims39 services$43.06 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
1 supplier16 claims16 services$22.63 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims72 services$2.89 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
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sashank Pokhrel's NPI number?

The NPI number for Sashank Pokhrel is 1700034188. It was assigned to this individual provider in the NPPES registry on August 28, 2008.

Where is Sashank Pokhrel located?

Sashank Pokhrel practices at 209 Village Ave, Yorktown, VA 23693. The listed phone number is (757) 316-5050.

What is Sashank Pokhrel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sashank Pokhrel enrolled in Medicare?

Yes. Sashank Pokhrel 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.

Is Sashank Pokhrel affiliated with any hospitals?

According to CMS data, Sashank Pokhrel is affiliated with Riverside Regional Medical Center and Sentara Careplex Hospital.

When was this NPI record last updated?

The NPPES record for Sashank Pokhrel was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.