DR. AVINASH GHIMIRE MD
NPI 1972662260
Internal Medicine - Nephrology in Bastrop, TX
About Dr. Avinash Ghimire Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AVINASH GHIMIRE MD (NPI 1972662260) is an individual nephrology provider in Bastrop, Texas, licensed in Texas (T8408) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Hospital-san Marcos, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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. Avinash 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.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus Santa Rosa Hospital-San Marcos
Acute Care Hospitals · San Marcos, TXSt David's Medical Center
Acute Care Hospitals · Austin, TXSt David's South Austin Medical Center
Acute Care Hospitals · Austin, TXAscension Seton Hays
Acute Care Hospitals · Kyle, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Avinash Ghimire's NPI number?
The NPI number for Avinash Ghimire is 1972662260. It was assigned to this individual provider in the NPPES registry on December 6, 2006.
Where is Avinash Ghimire located?
Avinash Ghimire practices at 3101 Highway 71 E Ste 201, Bastrop, TX 78602. The listed phone number is (512) 901-4010.
What is Avinash Ghimire's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Avinash Ghimire enrolled in Medicare?
Yes. Avinash 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.
What insurance does Avinash Ghimire accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Avinash Ghimire 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 Avinash Ghimire affiliated with any hospitals?
According to CMS data, Avinash Ghimire is affiliated with Christus Santa Rosa Hospital-San Marcos, St David's Medical Center, St David's South Austin Medical Center and Ascension Seton Hays.
When was this NPI record last updated?
The NPPES record for Avinash Ghimire was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.