DR. NEELAM THAPA M.D.
NPI 1922388131
Pediatrics in Pawtucket, RI
About Dr. Neelam Thapa M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NEELAM THAPA M.D. (NPI 1922388131) is an individual pediatrics provider in Pawtucket, Rhode Island, licensed in Rhode Island (MD13741) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Neelam Thapa M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Neelam Thapa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21239
- Reassigned Medicare billing, District of Columbia enrollment
- 3,530 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02860 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Neelam Thapa's NPI number?
The NPI number for Neelam Thapa is 1922388131. It was assigned to this individual provider in the NPPES registry on August 18, 2011.
Where is Neelam Thapa located?
Neelam Thapa practices at 42 Park Pl, Pawtucket, RI 02860. The listed phone number is (401) 729-0080.
What is Neelam Thapa's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Neelam Thapa enrolled in Medicare?
Yes. Neelam Thapa is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Neelam Thapa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Neelam Thapa reassigns Medicare benefits to Medstar Medical Group II LLC (Baltimore, MD). The 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 Neelam Thapa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Neelam Thapa accept?
Health plans from Taro Health list Neelam Thapa 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.
When was this NPI record last updated?
The NPPES record for Neelam Thapa was last updated on August 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Neelam Thapa, M.D. · NPI 1922388131
Pediatrics physician in Pawtucket, Rhode Island. Individual provider, active in the CMS NPPES registry since August 18, 2011.
## Identity
- **NPI:** 1922388131 (Entity type: Individual)
- **Enumerated:** August 18, 2011
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD13741 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 42 PARK PL, Pawtucket, RI 02860-4010
- **Phone:** (401) 729-0080
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Medstar Medical Group II LLC (NPI 1184046187, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 18, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1922388131) · Data from the CMS NPPES public registry.