PREM R PARAJULI MD
NPI 1851641229
Internal Medicine - Cardiovascular Disease in Phoenixville, PA
About Prem R Parajuli Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREM R PARAJULI MD (NPI 1851641229) is an individual cardiovascular disease provider in Phoenixville, Pennsylvania, licensed in Pennsylvania (MD459265) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains a secondary practice location in Baltimore.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Prem R Parajuli 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.
Medicare Billing Reassignments
3Medicare enrollment records show Prem Parajuli reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenixville, PA 19460
- Reassigned Medicare billing, Pennsylvania enrollment
- 529 clinicians in this Medicare group
Philadelphia, PA 19118
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
Reading, PA 19601
- Reassigned Medicare billing, Pennsylvania enrollment
- 399 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Reading Hospital
Acute Care Hospitals · West Reading, PAPottstown Hospital
Acute Care Hospitals · Pottstown, PAPhoenixville Hospital
Acute Care Hospitals · Phoenixville, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19460 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIXVILLE, PA 19460
PHOENIXVILLE, PA 19460
PHOENIXVILLE, PA 19460
PHOENIXVILLE, PA 19460
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 Prem Parajuli's NPI number?
The NPI number for Prem Parajuli is 1851641229. It was assigned to this individual provider in the NPPES registry on September 13, 2012.
Where is Prem Parajuli located?
Prem Parajuli practices at 824 Main St Ste 306, Phoenixville, PA 19460. The listed phone number is (610) 983-1941.
What is Prem Parajuli's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Prem Parajuli enrolled in Medicare?
Yes. Prem Parajuli 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.
Which organizations bill Medicare for Prem Parajuli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prem Parajuli reassigns Medicare benefits to 3 organizations: Phoenixville Clinic Company LLC (Phoenixville, PA), Tower Health Medical Group (Philadelphia, PA) and Reading Hospital (Reading, PA). Each 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 Prem Parajuli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Prem Parajuli accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Prem Parajuli 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 Prem Parajuli affiliated with any hospitals?
According to CMS data, Prem Parajuli is affiliated with Reading Hospital, Pottstown Hospital and Phoenixville Hospital.
When was this NPI record last updated?
The NPPES record for Prem Parajuli was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Prem R Parajuli, MD · NPI 1851641229
Cardiovascular Disease physician in Phoenixville, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 13, 2012.
## Identity
- **NPI:** 1851641229 (Entity type: Individual)
- **Enumerated:** September 13, 2012
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** MD459265 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 824 MAIN ST STE 306, Phoenixville, PA 19460-4478
- **Phone:** (610) 983-1941
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Phoenixville Clinic Company LLC (NPI 1275173957, Phoenixville, PA); Tower Health Medical Group (NPI 1306476924, Philadelphia, PA); Reading Hospital (NPI 1386702413, Reading, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** September 22, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1851641229) · Data from the CMS NPPES public registry.