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MADALASA POKHREL
NPI 1801565296
Internal Medicine in New Rochelle, NY

Active since September 08, 2021PECOS Enrolled
16 GUION PL, NEW ROCHELLE, NY 10801(914) 365-3680(914) 365-5489 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2026, Jul 8, 2026, Sep 8, 2021 (3 updates tracked since 2021).

About Madalasa Pokhrel NPPES

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

MADALASA POKHREL (NPI 1801565296) is an individual internal medicine provider in New Rochelle, New York, licensed in Kentucky (61836) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hazard, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1801565296
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMADALASA POKHREL
Location Address16 GUION PLNew Rochelle, NY 10801-5502
Mailing Address16 Guion PlNew Rochelle, NY 10801-5502 · (606) 487-7510 · Fax (606) 439-6793
Phone(914) 365-3680
Fax(914) 365-5489
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 8, 2021
Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1801565296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 61836
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 · Infectious DiseaseTaxonomy 207RI0200X · License 61836 (KY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
16 GUION PL, New Rochelle, NY 10801
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Secondary Practice Location 1

Location 1200 Medical Center DrHazard, KY 41701-9466 · Phone (606) 487-7510 · Fax (606) 439-6793

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madalasa Pokhrel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547727489
PECOS Enrollment IDI20260811000646
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.

Medicare Billing Reassignment

Medicare enrollment records show Madalasa Pokhrel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Appalachian Regional Healthcare, Inc.
441 mi
Radiation Oncology
115 SUMMERS HOSPITAL ROAD
Hinton, WV 25951
  • Reassigned Medicare billing, Kentucky enrollment
  • 419 clinicians in this Medicare group
NPI 1104941335 (304) 466-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10801 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

DR. RAMATALLAH ATINUKE BALOGUN MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3680
HYUN CHUNG MD
Emergency Medicine
16 GUION PL, SOUND SHORE MEDICAL CENTER OF WESTCHESTER
NEW ROCHELLE, NY 10801
Westchester County (914) 632-5000
ELANA MIRIAM FRIEDMAN MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3680
MICHELLE RENEE EWART MD
Pathology (Anatomic Pathology)
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 632-5000
DR. DANIEL HAROLD POMERANTZ MD
Internal Medicine
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3615
DR. BURTON L HERZ M.D.
Surgery
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 637-1396
DR. MA PAMELA GALLARDO DEMIGILLO MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-5000
ABHISHEK BASNET MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3680

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 Madalasa Pokhrel's NPI number?

The NPI number for Madalasa Pokhrel is 1801565296. It was assigned to this individual provider in the NPPES registry on September 8, 2021.

Where is Madalasa Pokhrel located?

Madalasa Pokhrel practices at 16 Guion Pl, New Rochelle, NY 10801. The listed phone number is (914) 365-3680.

What is Madalasa Pokhrel's specialty?

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

Is Madalasa Pokhrel enrolled in Medicare?

Yes. Madalasa Pokhrel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madalasa Pokhrel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madalasa Pokhrel reassigns Medicare benefits to Appalachian Regional Healthcare, Inc. (Hinton, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madalasa Pokhrel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Madalasa Pokhrel was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.