UPASANA POKHREL
NPI 1780458430
Ophthalmology in Atlanta, GA

NPI Status: Active since November 13, 2023

Contact Information

1364 CLIFTON RD NE
ATLANTA, GA
ZIP 30322
Phone: (404) 778-2020

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  • Individual
  • Female
  • Ophthalmology
  • PECOS Enrolled

About UPASANA POKHREL

This page provides the complete NPI Profile along with additional information for Upasana Pokhrel, a provider established in Atlanta, Georgia with a medical specialization in Ophthalmology. The healthcare provider is registered in the NPI registry with number 1780458430 assigned on November 2023. The practitioner's primary taxonomy code is 207W00000X with license number 125.085050 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1780458430
Provider Name
UPASANA POKHREL
Gender
Female
Entity Type
Individual
Location Address
1364 CLIFTON RD NE ATLANTA, GA 30322
Location Phone
(404) 778-2020
Mailing Address
1364 CLIFTON RD NE ATLANTA, GA 30322
Is Sole Proprietor?
No
Enumeration Date
11-13-2023
Last Update Date
11-25-2024
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Ophthalmologists like Upasana Pokhrel specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
License No.
125.085050
License State
IL
Taxonomy Description
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207WX0108XAllopathic & Osteopathic Physicians

Ophthalmology
Uveitis and Ocular Inflammatory Disease

15847 (GA)

Medicare Participation & PECOS Enrollment Status

Upasana Pokhrel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30322 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.64
  • Minimum New Patient Price $56.84
  • Maximum New Patient Price $172.43
  • Average New Patient Copayment $32.66
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.1

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.85
  • Minimum Established Patient Price $18.22
  • Maximum Established Patient Price $140.4
  • Average Established Patient Copayment $17.71
  • Minimum Established Patient Copayment $4.55
  • Maximum Established Patient Copayment $35.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780458430
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27160851646
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 8 + 5 + 1 + 6 + 4 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1780458430 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. MAUREEN E. HAAS PHARMD, BCPS

Pharmacist

(Pharmacotherapy)

1364 CLIFTON RD NE
ATLANTA, GA
ZIP 30322

(404) 712-4019

MS. RENEE MICHELLE DEVINE PHARM D

Pharmacist

(Pharmacotherapy)

1364 CLIFTON RD NE
DEPARTMENT OF PHARMACY EG22
ATLANTA, GA
ZIP 30322

(404) 712-7505

GLORIA J. IANNONE CRNA

Nurse Anesthetist, Certified Registered

1364 CLIFTON RD NE
STE B3
ATLANTA, GA
ZIP 30322

(770) 645-9181

ASHLEY LYN SLAPPY MD

Surgery

1364 CLIFTON RD NE
SUITE A3300
ATLANTA, GA
ZIP 30322

(404) 778-3712

DIAN DOWLING EVANS FNP

Nurse Practitioner

(Family)

1364 CLIFTON RD NE
ATLANTA, GA
ZIP 30322

(404) 712-2908

DR. ARTHUR JACKSON FOUNTAIN JR. MD

Radiology

(Neuroradiology)

1364 CLIFTON RD NE
DEPT OF RADIOLOGY
ATLANTA, GA
ZIP 30322

(404) 712-4583

ALEXANDER DUNCAN MD

Pathology

(Clinical Pathology/Laboratory Medicine)

1364 CLIFTON RD NE
ROOM F145
ATLANTA, GA
ZIP 30322

(404) 712-7294

CYNTHIA COHEN M.D.

Pathology

(Anatomic Pathology)

1364 CLIFTON RD NE
RM. G144
ATLANTA, GA
ZIP 30322

(404) 712-7005

TRISTRAM G. PARSLOW M.D., PH.D.

Pathology

(Anatomic Pathology & Clinical Pathology)

1364 CLIFTON RD NE
ROOM H184
ATLANTA, GA
ZIP 30322

(404) 727-8657

SHIYONG LI M.D., PH.D.

Pathology

(Hematology)

1364 CLIFTON RD NE
ROOM F143D
ATLANTA, GA
ZIP 30322

(404) 712-5456

CAROLYN S. KATZEN M.D.

Pathology

(Anatomic Pathology & Clinical Pathology)

1364 CLIFTON RD NE
ATLANTA, GA
ZIP 30322

(404) 686-1900

CHRISTOPHER D. HILLYER M.D.

Pathology

(Blood Banking & Transfusion Medicine)

1364 CLIFTON RD NE
EUH BLOOD BANK, ROOM D655
ATLANTA, GA
ZIP 30322

(404) 712-5869

ANTHONY ANDREW GAL M.D.

Pathology

(Anatomic Pathology & Clinical Pathology)

1364 CLIFTON RD NE
ROOM H171
ATLANTA, GA
ZIP 30322

(404) 712-7320

JEANNINE T. HOLDEN M.D.

Pathology

(Hematology)

1364 CLIFTON RD NE
RM. F143B
ATLANTA, GA
ZIP 30322

(404) 712-7344

KAREN MANN M.D., PH.D.

Pathology

(Hematology)

1364 CLIFTON RD NE
ROOM F143C
ATLANTA, GA
ZIP 30322

(404) 712-1264

CHARLES E. HILL M.D., PH.D

Pathology

(Clinical Pathology/Laboratory Medicine)

1364 CLIFTON RD NE
ROOM F147A
ATLANTA, GA
ZIP 30322

(404) 712-4615

MARK MULLINS MD

Radiology

(Neuroradiology)

1364 CLIFTON RD NE
ATLANTA, GA
ZIP 30322

(404) 712-4583

JACQUES E DION MD

Radiology

(Nuclear Radiology)

1364 CLIFTON RD NE
ROOM A121 DEPT OF RADIOLOGY
ATLANTA, GA
ZIP 30322

(404) 712-4991

CHARLES WHITAKER SEWELL M.D.

Pathology

(Cytopathology)

1364 CLIFTON RD NE
EMORY UNIVERSITY HOSPITAL, STE. H185C
ATLANTA, GA
ZIP 30322

(404) 712-7003

STEPHEN B. HUNTER M.D.

Pathology

(Neuropathology)

1364 CLIFTON RD NE
EMORY UNIVERSITY HOSPITAL, ROOM H173
ATLANTA, GA
ZIP 30322

(404) 712-4278

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780458430, enumerated as an "individual" on November 13, 2023.

The provider is located at 1364 CLIFTON RD NE ATLANTA, GA 30322 and the phone number is (404) 778-2020.

Ophthalmology with taxonomy code 207W00000X.