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DR. NABODITA DEVKOTA GHIMIRE MD
NPI 1720419831
Family Medicine in Albany, NY

Active since November 29, 2013PECOS Enrolled
76.7/100
CMS Quality Rating
47 NEW SCOTLAND AVE, ALBANY, NY 12208(518) 262-8797 Get Directions Write a Review

NPPES record last updated: March 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2018, Aug 30, 2017 (2 updates tracked since 2017).

About Dr. Nabodita Devkota Ghimire Md NPPES

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

DR. NABODITA DEVKOTA GHIMIRE MD (NPI 1720419831) is an individual family medicine provider in Albany, New York, licensed in New York (288994) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720419831
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NABODITA DEVKOTA GHIMIRECredential: MD
Location Address47 NEW SCOTLAND AVEAlbany, NY 12208-3412
Mailing Address600 Mcclellan StSchenectady, NY 12304-1009
Phone(518) 262-8797
Sole ProprietorNo
Enumeration DateNovember 29, 2013
Last NPPES UpdateMarch 12, 20182 updates tracked since enumeration
✔ NPI 1720419831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 288994
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.
Also ListedHospitalistTaxonomy 208M00000X · License 288994 (NY)
47 NEW SCOTLAND AVE, Albany, NY 12208
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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)

Dr. Nabodita Devkota Ghimire 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.
151 services62 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
46 services23 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.
39 services34 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

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.

AMC
Psychiatric Hospital
47 NEW SCOTLAND AVE, PSYCHIATRY DEPARTMENT
ALBANY, NY 12208
Albany County (516) 547-3032
BRIANNA SAMSON PA-C
Physician Assistant (Medical)
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-5332
VILOK DESAI
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVE, DEPARTMENT OF OTOLARYNGOLOGY
ALBANY, NY 12208
Albany County (518) 264-5578
TAYLOR SEKYRA
Physician Assistant
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-5521
DR. TODD BEYER MD
Surgery
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-5623
ROBIN M GRAY FNP
Nurse Practitioner
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-3480
MR. SREENIVAS GARLA MD
Radiology (Neuroradiology)
47 NEW SCOTLAND AVE, RADIOLOGY DEPT
ALBANY, NY 12208
Albany County (518) 262-3277
DR. KRISTEN MORGAN PEACE M.D.
Emergency Medicine
47 NEW SCOTLAND AVE, DEPARTMENT OF EMERGENCY MEDICINE
ALBANY, NY 12208
Albany County (518) 262-3773

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 Nabodita Ghimire's NPI number?

The NPI number for Nabodita Ghimire is 1720419831. It was assigned to this individual provider in the NPPES registry on November 29, 2013.

Where is Nabodita Ghimire located?

Nabodita Ghimire practices at 47 New Scotland Ave, Albany, NY 12208. The listed phone number is (518) 262-8797.

What is Nabodita Ghimire's specialty?

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

Is Nabodita Ghimire enrolled in Medicare?

Yes. Nabodita Ghimire is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nabodita Ghimire was last updated on March 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.