SUDIP GHIMIRE MD
NPI 1942536222
Student in an Organized Health Care Education/Training Program in Newport News, VA

Q: What is Sudip Ghimire's NPI number?

The NPI number for Sudip Ghimire is 1942536222. It was assigned to this individual provider in the NPPES registry on October 21, 2009.

Q: What is Sudip Ghimire's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sudip Ghimire was last updated on March 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 21, 2009PECOS EnrolledAccepts Medicare Assignment

12720 MCMANUS BLVD STE 307, NEWPORT NEWS, VA 23602(757) 599-3436(757) 599-4240 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 22, 2021, Oct 3, 2018, Sep 27, 2018 (3 updates tracked since 2018).

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About Sudip Ghimire Md NPPES

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

SUDIP GHIMIRE MD (NPI 1942536222) is an individual student in an organized health care education/training program in Newport News, Virginia and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Maryview Medical Center, and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1942536222

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSUDIP GHIMIRECredential: MD

Location Address12720 MCMANUS BLVD STE 307Newport News, VA 23602-4414

Mailing Address860 Omni Blvd Ste 101Newport News, VA 23606-4430 · (757) 232-8769 · Fax (757) 232-8875

Phone(757) 599-3436

Fax(757) 599-4240

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateOctober 21, 2009

Last NPPES UpdateMarch 22, 20213 updates tracked since enumeration

NPPES CertifiedMarch 22, 2021

✔ NPI 1942536222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

12720 MCMANUS BLVD STE 307, Newport News, VA 23602

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Secondary Practice Location 1

Location 11 Medical Dr Dept OfLebanon, NH 03756 · Phone (603) 650-5000

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

Sudip Ghimire 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 ID6709036601

PECOS Enrollment IDI20201007001299

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 22

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

456 services229 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

429 services220 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.

429 services222 patients

Parathormone (parathyroid hormone) level 83970

The Parathormone level test measures the amount of parathyroid hormone in your blood. This hormone controls calcium and phosphorus levels in the body, which are vital for bone health. Abnormal levels may indicate issues like kidney disease or parathyroid gland disorders.

335 services188 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

320 services47 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

294 services180 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.

244 services96 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.

222 services96 patients

Blood count, hemoglobin 85018

A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.

218 services154 patients

Magnesium level 83735

A magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.

166 services123 patients

Phosphate level 84100

A phosphate level test measures the amount of phosphate in your blood. Phosphate is a chemical that contains the mineral phosphorus, crucial for energy production, muscle and nerve function, and bone growth. Imbalances may indicate kidney disease or other health issues.

109 services89 patients

Uric acid level, blood 84550

A blood uric acid level test measures the amount of uric acid in your blood. Uric acid is a waste product that your body produces when it breaks down purines, substances found in your body and in certain foods. High levels may lead to gout or kidney stones.

100 services83 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

86 services86 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.

76 services67 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

65 services40 patients

Albumin (protein) level 82040

The Albumin Level test measures the amount of albumin, a vital protein made by the liver, in your blood. This protein helps keep fluid in your bloodstream so it doesn't leak into other tissues. It's also vital for tissue growth and healing. Low or high levels can indicate certain health issues.

56 services51 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

54 services30 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

35 services32 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.

33 services29 patients

Creatine kinase (cardiac enzyme) level, total 82550

The total Creatine Kinase (CK) level test is a blood test that helps assess the health of your heart. It measures an enzyme called CK that's released into the bloodstream when heart or other muscle tissue is damaged. High levels may indicate a heart attack or muscle disorder.

31 services31 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

17 services11 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490017

Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County

Emergency services

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490041

Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County

Emergency services Birthing friendly

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490066

Location100 Sentara CircleWilliamsburg, VA 23188 · James City County

Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490093

Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County

Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490130

Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County

Emergency services

Referred Medical Equipment & Supplies CMS DME claims

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

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

2 suppliers13 claims14 services$12.58 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMEIKA LASSITER NP-C

Nurse Practitioner

12720 MCMANUS BLVD STE 307
NEWPORT NEWS, VA 23602

Newport News City (757) 599-3436

AHMED AMINI DO

Internal Medicine (Nephrology)

12720 MCMANUS BLVD STE 307
NEWPORT NEWS, VA 23602

Newport News City (757) 599-3436

MS. REBEKAH A PINKOWSKI PA-C

Physician Assistant

12720 MCMANUS BLVD STE 307
NEWPORT NEWS, VA 23602

Newport News City (757) 872-9797

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 Sudip Ghimire's NPI number?

The NPI number for Sudip Ghimire is 1942536222. It was assigned to this individual provider in the NPPES registry on October 21, 2009.

Where is Sudip Ghimire located?

Sudip Ghimire practices at 12720 Mcmanus Blvd Ste 307, Newport News, VA 23602. The listed phone number is (757) 599-3436.

What is Sudip Ghimire's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sudip Ghimire enrolled in Medicare?

Yes. Sudip Ghimire 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.

Is Sudip Ghimire affiliated with any hospitals?

According to CMS data, Sudip Ghimire is affiliated with Bon Secours Maryview Medical Center, Mary Immaculate Hospital, Sentara Williamsburg Regional Medical Center, Sentara Careplex Hospital and Riverside Walter Reed Hospital.

When was this NPI record last updated?

The NPPES record for Sudip Ghimire was last updated on March 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.