SUNITA NEUPANE M.D.
NPI 1871099101
Internal Medicine in Harrisburg, PA

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment
86.18/100
CMS Quality Rating
205 SOUTH FRONT STREET, BRADY BUILDING SUITE 3C, HARRISBURG, PA 17104(717) 231-8532(717) 231-8535 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2021, Feb 4, 2021, Sep 13, 2018 (3 updates tracked since 2018).

About Sunita Neupane M.d. NPPES

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

SUNITA NEUPANE M.D. (NPI 1871099101) is an individual internal medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD475208) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and maintains a secondary practice location in Harrisburg.

NPPES Registry Identity

NPI1871099101
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUNITA NEUPANECredential: M.D.
Location Address205 SOUTH FRONT STREET, BRADY BUILDING SUITE 3CHarrisburg, PA 17104
Mailing Address205 South Front Street, Brady Building Suite 3cHarrisburg, PA 17104 · (717) 231-8532 · Fax (717) 231-8535
Fax(717) 231-8535
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 4, 2018
Last NPPES UpdateAugust 9, 20213 updates tracked since enumeration
NPPES CertifiedJune 29, 2021
NPI 1871099101 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 PA · MD475208
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.
205 SOUTH FRONT STREET, Harrisburg, PA 17104

Secondary Practice Location 1

Location 14300 Londonderry RdHarrisburg, PA 17109-5317 · Phone (717) 231-8772 · Fax (717) 231-8435

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

Sunita Neupane M.d. 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 ID446654321
PECOS Enrollment IDI20210816000326
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 4

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.

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.
379 services188 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.
156 services95 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
121 services119 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.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17104 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.53
Improvement Activities40
Cost65.62

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.

Nurse Practitioner (Acute Care)
205 SOUTH FRONT STREET, 4TH FLOOR, BMA
HARRISBURG, PA 17104
Physician Assistant (Surgical)
205 SOUTH FRONT STREET, 6TH FLOOR BMA
HARRISBURG, PA 17104
Student in an Organized Health Care Education/Training Program
205 SOUTH FRONT STREET, BRADY 916
HARRISBURG, PA 17104
Nurse Practitioner (Psychiatric/Mental Health)
205 SOUTH FRONT STREET, 5TH FLOOR BMA
HARRISBURG, PA 17104
Physician Assistant
205 SOUTH FRONT STREET, 4TH FLOOR BMA
HARRISBURG, PA 17104
Student in an Organized Health Care Education/Training Program
205 SOUTH FRONT STREET, BRADY 916
HARRISBURG, PA 17104
Emergency Medicine
205 SOUTH FRONT STREET, BRADY 3
HARRISBURG, PA 17104
Thoracic Surgery (Cardiothoracic Vascular Surgery)
205 SOUTH FRONT STREET, 4TH FLOOR, BMA
HARRISBURG, PA 17104

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 Sunita Neupane's NPI number?

The NPI number for Sunita Neupane is 1871099101. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Sunita Neupane located?

Sunita Neupane practices at 205 South Front Street Brady Building Suite 3C, Harrisburg, PA 17104. The listed phone number is (717) 231-8532.

What is Sunita Neupane's specialty?

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

Is Sunita Neupane enrolled in Medicare?

Yes. Sunita Neupane 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.

Is Sunita Neupane affiliated with any hospitals?

According to CMS data, Sunita Neupane is affiliated with Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Sunita Neupane was last updated on August 9, 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.