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BIJAYA GIRI M.D.
NPI 1902326259
Internal Medicine in Fort Wayne, IN

Active since June 27, 2017PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 266-2020(260) 266-2009 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 14, 2022, Feb 22, 2021, Sep 11, 2020 and 1 more (4 updates tracked since 2017).

About Bijaya Giri M.d. NPPES

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

BIJAYA GIRI M.D. (NPI 1902326259) is an individual internal medicine provider in Fort Wayne, Indiana, licensed in Indiana (01084110A) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1902326259
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBIJAYA GIRICredential: M.D.
Location Address11109 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 266-2020
Fax(260) 266-2009
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 27, 2017
Last NPPES UpdateOctober 14, 20224 updates tracked since enumeration
NPPES CertifiedOctober 14, 2022
✔ NPI 1902326259 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 IN · 01084110A
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11109 PARKVIEW PLAZA DR, Fort Wayne, IN 46845
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Bijaya Giri 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 ID3072932185
PECOS Enrollment IDI20200923000667
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 7

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.
276 services124 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.
134 services89 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.
51 services51 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.
51 services49 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.
40 services40 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
23 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150146
Location401 Sawyer RdKendallville, IN 46755 · Noble County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers11 claims11 services$18.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers11 claims11 services$94.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

AHMAD ALHARIRI MD
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-2020
DR. DANYELLE R ABER M.D.
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
AMY SOUERS M.D.
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
ANDY ALVAREZ HERRERA MD
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 672-6620
CORISSA PIATKA
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
MRS. CHRISTINA KAY FORD PHARMD
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-4400
SYDNEY NICHOLE RANZAU
Specialist/Technologist (Athletic Trainer)
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
HINA WAZIR MD
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 672-6620

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 Bijaya Giri's NPI number?

The NPI number for Bijaya Giri is 1902326259. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Bijaya Giri located?

Bijaya Giri practices at 11109 Parkview Plaza Dr, Fort Wayne, IN 46845. The listed phone number is (260) 266-2020.

What is Bijaya Giri's specialty?

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

Is Bijaya Giri enrolled in Medicare?

Yes. Bijaya Giri 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 Bijaya Giri accept?

Health plans from CareSource list Bijaya Giri 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 Bijaya Giri affiliated with any hospitals?

According to CMS data, Bijaya Giri is affiliated with Parkview Regional Medical Center and Parkview Noble Hospital.

When was this NPI record last updated?

The NPPES record for Bijaya Giri was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.