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ALLINA GHIMIRE MD
NPI 1831701978
Internal Medicine in Chicago, IL

Active since August 19, 2020PECOS EnrolledAccepts Medicare Assignment
4646 N MARINE DR, CHICAGO, IL 60640(773) 564-5225(773) 564-5226 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2025, Aug 19, 2020 (2 updates tracked since 2020).

About Allina Ghimire Md NPPES

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

ALLINA GHIMIRE MD (NPI 1831701978) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (075362) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains a secondary practice location in Saint Joseph.

NPPES Registry Identity

NPI1831701978
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameALLINA GHIMIRECredential: MD
Location Address4646 N MARINE DRChicago, IL 60640-5759
Mailing Address4600 N Clarendon Ave Apt 804Chicago, IL 60640-5755 · (773) 569-1362
Phone(773) 564-5225
Fax(773) 564-5226
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 19, 2020
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1831701978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 075362
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 · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 4301514179 (MI)
4646 N MARINE DR, Chicago, IL 60640
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Secondary Practice Location 1

Location 13950 Hollywood Rd Ste 288Saint Joseph, MI 49085-9159 · Phone (269) 408-1600 · Fax (269) 408-1602

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Allina Ghimire 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 ID5799197018
PECOS Enrollment IDI20250708001997
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.

Hospital Affiliations CMS Care Compare 2

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230078
Location400 Medical Park DrWatervliet, MI 49098 · Berrien County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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.

ANAYASH BHATTARAI MD
Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (773) 564-5225
AMRO ABBAS TAHA
Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (177) 391-2073
SHAMEEM SULTANA MD
Anesthesiology
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (773) 564-5966
WEISS MEMORIAL HOSPITAL
Chronic Disease Hospital
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (312) 622-7977
JOHN CHERF MD SC
Orthopaedic Surgery
4646 N MARINE DR, SUITE 3A
CHICAGO, IL 60640
Cook County (800) 843-0355
DR. MICHELE MARIE DELSIGNORE D.O.
Psychiatry & Neurology (Neurology)
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (773) 564-5216
MRS. LAINIE JOY O'DONNELL MA, CCC-SLP
Speech-Language Pathologist
4646 N MARINE DR, OUTPATIENT PHYSICAL THERAPY DEPT. 1ST FLOOR
CHICAGO, IL 60640
Cook County (773) 564-5425
DR. MOHAMMED OMAR JAHANGIR M.D.
Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (773) 564-5225

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 Allina Ghimire's NPI number?

The NPI number for Allina Ghimire is 1831701978. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Where is Allina Ghimire located?

Allina Ghimire practices at 4646 N Marine Dr, Chicago, IL 60640. The listed phone number is (773) 564-5225.

What is Allina Ghimire's specialty?

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

Is Allina Ghimire enrolled in Medicare?

Yes. Allina 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 Allina Ghimire accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Allina 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 Allina Ghimire affiliated with any hospitals?

According to CMS data, Allina Ghimire is affiliated with Lakeland Hospital, St Joseph and Corewell Health Watervliet Hospital.

When was this NPI record last updated?

The NPPES record for Allina Ghimire was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.