DR. GOPAL GHIMIRE MD, PHD, MRCP
NPI 1811225923
Internal Medicine - Interventional Cardiology in Olympia, WA

Q: What is Gopal Ghimire's NPI number?

The NPI number for Gopal Ghimire is 1811225923. It was assigned to this individual provider in the NPPES registry on December 1, 2009.

Q: What is Gopal Ghimire's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Gopal Ghimire was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 01, 2009PECOS EnrolledAccepts Medicare Assignment

500 LILLY RD NE STE 100, PROVIDENCE CARDIOLOGY ASSOCIATES, OLYMPIA, WA 98506(360) 413-8525 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Gopal Ghimire Md, Phd, Mrcp NPPES

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

DR. GOPAL GHIMIRE MD, PHD, MRCP (NPI 1811225923) is an individual interventional cardiology provider in Olympia, Washington, licensed in Washington (MD60562967) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1811225923

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. GOPAL GHIMIRECredential: MD, PHD, MRCP

Location Address500 LILLY RD NE STE 100, PROVIDENCE CARDIOLOGY ASSOCIATESOlympia, WA 98506-5195

Mailing Address500 Lilly Rd Ne Ste 100, Providence Cardiology AssociatesOlympia, WA 98506-5195 · (360) 413-8525

Phone(360) 413-8525

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateDecember 1, 2009

Last NPPES UpdateMay 19, 2021

NPPES CertifiedMay 19, 2021

✔ NPI 1811225923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in WA · MD60562967

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

500 LILLY RD NE STE 100, Olympia, WA 98506

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Dr. Gopal Ghimire Md, Phd, Mrcp 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 ID7719124577

PECOS Enrollment IDI20150630003172

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 25

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

801 services690 patients

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.

544 services403 patients

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.

267 services108 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

218 services179 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

192 services192 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

124 services120 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

121 services106 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

109 services79 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

96 services82 patients

Repair of left upper heart chamber with implant with review by radiologist 33340

This is a procedure to fix a problem in your left upper heart chamber. An implant is used to correct the issue. After the procedure, a radiologist, a doctor who specializes in medical imaging, reviews the images to ensure everything is in order.

71 services71 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

68 services68 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

64 services63 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

52 services52 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

51 services50 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

49 services49 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.

47 services35 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

45 services45 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, each additional vessel 92979

This procedure involves using ultrasound technology to evaluate the condition of your heart's blood vessels or graft. A radiologist reviews the images to check for any abnormalities. If additional vessels need to be examined, the process is repeated.

35 services29 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

30 services29 patients

Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel 92941

This procedure involves removing plaque, a substance that can block your blood vessels, and any blood clots. A stent, a tiny tube, may be inserted to keep the vessel open. If necessary, a balloon is inflated to widen the vessel, aiding blood flow.

21 services21 patients

Balloon dilation repair of aortic valve 92986

Balloon dilation repair of the aortic valve is a procedure where a balloon-tipped catheter is inserted into a blood vessel and guided to your heart. The balloon is inflated to open up the narrowed aortic valve, improving blood flow.

20 services20 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.

16 services16 patients

Insertion of blood flow assist device in lower heart chamber through skin with review by radiologist using artery access 33990

This procedure involves placing a device in the lower heart chamber to aid blood flow. Access is gained through the skin and an artery, guided by a radiologist's review. The device helps your heart pump blood more effectively.

13 services13 patients

Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist 93459

This procedure involves placing a tube into your left lower heart chamber, coronary artery, and bypass graft. It's done for diagnostic purposes and is carefully reviewed by a radiologist. This helps determine the health of your heart and arteries, aiding in future treatment plans.

12 services11 patients

Insertion of tube in right and left heart chambers for diagnosis with review by radiologist 93453

This procedure involves inserting a tube into the heart's chambers to gather information. A radiologist reviews images taken during the process to diagnose heart conditions. It's a common, safe procedure to help understand your heart's health better.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number500019

Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County

Emergency services Birthing friendly

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500024

Location413 Lilly Road NEOlympia, WA 98506 · Thurston County

Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500129

Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

Mason General Hospital & Family Of Clinics

Critical Access Hospitals · Shelton, WA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501336

Location901 Mt View DriveShelton, WA 98584 · Mason County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

LINDA YUEN LI

Nurse Practitioner (Family)

500 LILLY RD NE STE 100
OLYMPIA, WA 98506

Thurston County (360) 413-8525

BRAD ALLAN HOWARD DO

Internal Medicine (Cardiovascular Disease)

500 LILLY RD NE STE 100
OLYMPIA, WA 98506

Thurston County (360) 413-8525

DR. YING CHI YANG MD

Internal Medicine (Cardiovascular Disease)

500 LILLY RD NE STE 100
OLYMPIA, WA 98506

Thurston County (360) 413-8525

MRS. NICOLE ANNE WOODARD PA-C

Physician Assistant

500 LILLY RD NE STE 100
OLYMPIA, WA 98506

Thurston County (360) 413-8525

NATASHA P ARORA MD

Internal Medicine (Cardiovascular Disease)

500 LILLY RD NE STE 100, PROVIDENCE CARDIOLOGY ASSOCIATES
OLYMPIA, WA 98506

Thurston County (360) 413-8525

KATHARINE SHEBESTA PHYSICIAN ASSISTANT

Physician Assistant (Medical)

500 LILLY RD NE STE 100
OLYMPIA, WA 98506

Thurston County (360) 413-8525

GABRIELLE A HUDSON ARNP

Nurse Practitioner

500 LILLY RD NE STE 100
OLYMPIA, WA 98506

Thurston County (360) 413-8525

YUXUAN HU MD

Internal Medicine (Cardiovascular Disease)

500 LILLY RD NE STE 100
OLYMPIA, WA 98506

Thurston County (360) 413-8525

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 Gopal Ghimire's NPI number?

The NPI number for Gopal Ghimire is 1811225923. It was assigned to this individual provider in the NPPES registry on December 1, 2009.

Where is Gopal Ghimire located?

Gopal Ghimire practices at 500 Lilly Rd NE Ste 100 Providence Cardiology Associates, Olympia, WA 98506. The listed phone number is (360) 413-8525.

What is Gopal Ghimire's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Gopal Ghimire enrolled in Medicare?

Yes. Gopal Ghimire 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 Gopal Ghimire accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Gopal Ghimire 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 Gopal Ghimire affiliated with any hospitals?

According to CMS data, Gopal Ghimire is affiliated with Providence Centralia Hospital, Providence St Peter Hospital, Tacoma General Allenmore Hospital and Mason General Hospital & Family Of Clinics.

When was this NPI record last updated?

The NPPES record for Gopal Ghimire was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.