DR. PRABHAT POKHREL M.D.
NPI 1871531848
Family Medicine in Burton, MI
About Dr. Prabhat Pokhrel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRABHAT POKHREL M.D. (NPI 1871531848) is an individual family medicine provider in Burton, Michigan, licensed in Michigan (4301080535) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mclaren Flint, and is a graduate of Other (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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. Prabhat Pokhrel 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mclaren Flint
Acute Care Hospitals · Flint, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48509 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURTON, MI 48509
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 Prabhat Pokhrel's NPI number?
The NPI number for Prabhat Pokhrel is 1871531848. It was assigned to this individual provider in the NPPES registry on June 3, 2006.
Where is Prabhat Pokhrel located?
Prabhat Pokhrel practices at 1460 N Center Rd, Burton, MI 48509. The listed phone number is (810) 715-4300.
What is Prabhat Pokhrel's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Prabhat Pokhrel enrolled in Medicare?
Yes. Prabhat Pokhrel 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 Prabhat Pokhrel accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Prabhat Pokhrel 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 Prabhat Pokhrel affiliated with any hospitals?
According to CMS data, Prabhat Pokhrel is affiliated with Mclaren Flint.
When was this NPI record last updated?
The NPPES record for Prabhat Pokhrel was last updated on June 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
