NARAYAN DHAREL MD, PHD
NPI 1942464102
Internal Medicine - Gastroenterology in Fredericksburg, VA

Q: What is Narayan Dharel's NPI number?

The NPI number for Narayan Dharel is 1942464102. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Q: What is Narayan Dharel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Narayan Dharel was last updated on February 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 16, 2008PECOS EnrolledAccepts Medicare Assignment

1031 CARE WAY, GASTROENTEROLOGY ASSOCIATES OF FREDERICKSBURG, FREDERICKSBURG, VA 22401(540) 371-7600 Get Directions Write a Review

NPPES record last updated: February 20, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Narayan Dharel Md, Phd NPPES

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

NARAYAN DHAREL MD, PHD (NPI 1942464102) is an individual gastroenterology provider in Fredericksburg, Virginia, licensed in Virginia (0101251419) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1942464102

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameNARAYAN DHARELCredential: MD, PHD

Location Address1031 CARE WAY, GASTROENTEROLOGY ASSOCIATES OF FREDERICKSBURGFredericksburg, VA 22401-8425

Mailing Address1031 Care Way, Gastroenterology Associates Of FredericksburgFredericksburg, VA 22401-8425 · (540) 371-7600

Phone(540) 371-7600

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJuly 16, 2008

Last NPPES UpdateFebruary 20, 2018

✔ NPI 1942464102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in VA · 0101251419

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 236119 (MA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1031 CARE WAY, Fredericksburg, VA 22401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Narayan Dharel Md, Phd 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 ID2163599101

PECOS Enrollment IDI20130621000139

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.

Medicare Billing Reassignments

Medicare enrollment records show Narayan Dharel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology Associates Of Fredericksburg, P.C.

Same address

Gastroenterology

1031 CARE WAY
Fredericksburg, VA 22401

Reassigned Medicare billing, Virginia enrollment
Medicare enrollment name: Gastroenterology Associates Of Fredericksburg PC
13 clinicians in this Medicare group

NPI 1952455735 (540) 371-7600

Mary Washington Healthcare Providers LLC

0.3 mi

Hospitalist

1001 SAM PERRY BLVD
Fredericksburg, VA 22401

Reassigned Medicare billing, Virginia enrollment
323 clinicians in this Medicare group

NPI 1750826277 (540) 741-1821

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

171 services161 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

163 services136 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

121 services105 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

115 services114 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

71 services71 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.

64 services63 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.

44 services31 patients

Measurement of liver stiffness 91200

Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.

40 services40 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

36 services35 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

22 services22 patients

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.

16 services14 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

15 services15 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

14 services13 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490022

Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County

Emergency services Birthing friendly

Stafford Hospital, LLC

Acute Care Hospitals · Stafford, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490140

Location101 Hospital Center BoulevardStafford, VA 22554 · Stafford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

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.

CHERYL ASHANTI PA-C

Physician Assistant

1031 CARE WAY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 371-7600

LAUREN CRONISE SEARLS DO

Internal Medicine (Gastroenterology)

1031 CARE WAY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 371-7600

DR. FRANK J DETRANE M.D.

Internal Medicine (Gastroenterology)

1031 CARE WAY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 371-7600

REHAN AHMED

Physician Assistant

1031 CARE WAY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 371-7600

KAITLIN DANIELLE GILBERT PA-C

Physician Assistant

1031 CARE WAY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 371-7600

STEPHANIE ROSAS PA-C

Physician Assistant

1031 CARE WAY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 371-7600

AKASH AJMERA M.D.

Internal Medicine (Gastroenterology)

1031 CARE WAY
FREDERICKSBRG, VA 22401

Fredericksburg City (540) 371-2046

MEETA DESAI M.D.

Internal Medicine (Gastroenterology)

1031 CARE WAY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 371-7600

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 Narayan Dharel's NPI number?

The NPI number for Narayan Dharel is 1942464102. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Where is Narayan Dharel located?

Narayan Dharel practices at 1031 Care Way Gastroenterology Associates Of Fredericksburg, Fredericksburg, VA 22401. The listed phone number is (540) 371-7600.

What is Narayan Dharel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Narayan Dharel enrolled in Medicare?

Yes. Narayan Dharel 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.

Which organizations bill Medicare for Narayan Dharel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Narayan Dharel reassigns Medicare benefits to 2 organizations: Gastroenterology Associates Of Fredericksburg, P.C. (Fredericksburg, VA) and Mary Washington Healthcare Providers LLC (Fredericksburg, VA). Each 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 Narayan Dharel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Narayan Dharel accept?

Health plans from Taro Health list Narayan Dharel 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 Narayan Dharel affiliated with any hospitals?

According to CMS data, Narayan Dharel is affiliated with Mary Washington Hospital and Stafford Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Narayan Dharel was last updated on February 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.