DR. PUSHPANJALI BASNYAT MD
NPI 1912060385
Hospitalist in Federal Way, WA

Active since December 18, 2006PECOS EnrolledAccepts Medicare Assignment
34515 9TH AVE S, FEDERAL WAY, WA 98003(253) 426-6341(206) 965-4279 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Pushpanjali Basnyat Md NPPES

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

DR. PUSHPANJALI BASNYAT MD (NPI 1912060385) is an individual hospitalist provider in Federal Way, Washington, licensed in Washington (MD00047403) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1912060385
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. PUSHPANJALI BASNYATCredential: MD
Location Address34515 9TH AVE SFederal Way, WA 98003-6761
Mailing Address34515 9th Ave SFederal Way, WA 98003-6761 · (253) 426-6341 · Fax (206) 965-4279
Fax(206) 965-4279
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateDecember 18, 2006
Last NPPES UpdateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
NPI 1912060385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WA · MD00047403
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD00047403 (WA), A94100 (CA)
34515 9TH AVE S, Federal Way, WA 98003

Other Names 1

Other Name (5)Pushpanjali Hamal

Other Identifiers 1

Medicaid1057738WA

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. Pushpanjali Basnyat 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 ID1557467487
PECOS Enrollment IDI20070830000063
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.
267 services123 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.
93 services49 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.
41 services41 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.
31 services19 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

St Anthony Hospital

Acute Care Hospitals · Gig Harbor, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500151
Location11567 Canterwood Boulevard NWGig Harbor, WA 98332 · Pierce County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98003 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
88%120 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

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 suppliers50 claims50 services$64.94 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier23 claims24 services$14.12 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier28 claims28 services$34.32 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.

Local Education Agency (LEA)
34515 9TH AVE S
FEDERAL WAY, WA 98003
Emergency Medicine
34515 9TH AVE S
FEDERAL WAY, WA 98003
Internal Medicine
34515 9TH AVE S
FEDERAL WAY, WA 98003
Emergency Medicine
34515 9TH AVE S
FEDERAL WAY, WA 98003
Clinic/Center (Radiology)
34515 9TH AVE S
FEDERAL WAY, WA 98003
Hospitalist
34515 9TH AVE S
FEDERAL WAY, WA 98003
Hospitalist
34515 9TH AVE S
FEDERAL WAY, WA 98003
Physician Assistant
34515 9TH AVE S
FEDERAL WAY, WA 98003

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 Pushpanjali Basnyat's NPI number?

The NPI number for Pushpanjali Basnyat is 1912060385. It was assigned to this individual provider in the NPPES registry on December 18, 2006. The provider is also known as Pushpanjali Hamal.

Where is Pushpanjali Basnyat located?

Pushpanjali Basnyat practices at 34515 9th Ave S, Federal Way, WA 98003. The listed phone number is (253) 426-6341.

What is Pushpanjali Basnyat's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Pushpanjali Basnyat enrolled in Medicare?

Yes. Pushpanjali Basnyat 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 Pushpanjali Basnyat accept?

Health plans from Providence Health Plan list Pushpanjali Basnyat 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 Pushpanjali Basnyat affiliated with any hospitals?

According to CMS data, Pushpanjali Basnyat is affiliated with St Joseph Medical Center and St Anthony Hospital.

When was this NPI record last updated?

The NPPES record for Pushpanjali Basnyat was last updated on December 1, 2020. 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.