SIMANT SINGH THAPA MD
NPI 1750765541
Internal Medicine - Pulmonary Disease in Muncie, IN

Active since July 13, 2015PECOS EnrolledAccepts Medicare Assignment
2525 W UNIVERSITY AVE, MUNCIE, IN 47303(765) 289-5409 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Simant Singh Thapa Md NPPES

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

SIMANT SINGH THAPA MD (NPI 1750765541) is an individual pulmonary disease provider in Muncie, Indiana, licensed in Indiana (01087674A) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1750765541
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSIMANT SINGH THAPACredential: MD
Location Address2525 W UNIVERSITY AVEMuncie, IN 47303-3421
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 13, 2015
Last NPPES UpdateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
NPI 1750765541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in IN · 01087674A
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 263793 (MA), 01087674A (IN)
2525 W UNIVERSITY AVE, Muncie, IN 47303

Accepted 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

Simant Singh Thapa 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 ID547551913
PECOS Enrollment IDI20220808001981
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 13

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
153 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services87 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.
50 services41 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
39 services39 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
39 services39 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
30 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Indiana University Health Jay, Inc.

Critical Access Hospitals · Portland, IN
OwnershipGovernment - Local
CMS Certification Number151320
Location500 W Votaw StPortland, IN 47371 · Jay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47303 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 2

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
2 suppliers22 claims22 services$13.12 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
4 suppliers27 claims27 services$64.35 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.

Internal Medicine (Clinical Cardiac Electrophysiology)
2525 W UNIVERSITY AVE, SUITE 505
MUNCIE, IN 47303
Nurse Practitioner (Pediatrics)
2525 W UNIVERSITY AVE, SUITE 404
MUNCIE, IN 47303
Otolaryngology
2525 W UNIVERSITY AVE, SUITE 501
MUNCIE, IN 47303
Surgery
2525 W UNIVERSITY AVE, SUITE 403
MUNCIE, IN 47303
Psychiatry & Neurology (Neurology)
2525 W UNIVERSITY AVE
MUNCIE, IN 47303
Nurse Practitioner (Family)
2525 W UNIVERSITY AVE
MUNCIE, IN 47303
Internal Medicine
2525 W UNIVERSITY AVE
MUNCIE, IN 47303
Student in an Organized Health Care Education/Training Program
2525 W UNIVERSITY AVE
MUNCIE, IN 47303

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 Simant Thapa's NPI number?

The NPI number for Simant Thapa is 1750765541. It was assigned to this individual provider in the NPPES registry on July 13, 2015.

Where is Simant Thapa located?

Simant Thapa practices at 2525 W University Ave, Muncie, IN 47303. The listed phone number is (765) 289-5409.

What is Simant Thapa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Simant Thapa enrolled in Medicare?

Yes. Simant Thapa 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 Simant Thapa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Simant Thapa 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 Simant Thapa affiliated with any hospitals?

According to CMS data, Simant Thapa is affiliated with Indiana University Health, Indiana University Health Ball Memorial Hospital and Indiana University Health Jay, Inc..

When was this NPI record last updated?

The NPPES record for Simant Thapa was last updated on August 2, 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.