PRAMESH DHAKAL MD
NPI 1982860581
Internal Medicine - Cardiovascular Disease in Monroe, NC

Q: What is Pramesh Dhakal's NPI number?

The NPI number for Pramesh Dhakal is 1982860581. It was assigned to this individual provider in the NPPES registry on August 3, 2008.

Q: What is Pramesh Dhakal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Pramesh Dhakal was last updated on July 22, 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.

Active since August 03, 2008PECOS EnrolledAccepts Medicare Assignment

95.35/100

CMS Quality Rating

1550 FAULK ST, STE 3100, MONROE, NC 28112(704) 667-3410 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2024, May 15, 2023, Mar 16, 2023 and 32 more (35 updates tracked since 2019).

On this page

About Pramesh Dhakal Md NPPES

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

PRAMESH DHAKAL MD (NPI 1982860581) is an individual cardiovascular disease provider in Monroe, North Carolina, licensed in North Carolina (2019-02434) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Anson, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1982860581

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NamePRAMESH DHAKALCredential: MD

Location Address1550 FAULK ST, STE 3100Monroe, NC 28112-5086

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 667-3410

Sole ProprietorNo

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2015

Enumeration DateAugust 3, 2008

Last NPPES UpdateJuly 22, 202435 updates tracked since enumeration

✔ NPI 1982860581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NC · 2019-02434

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2019-02434 (NC)

1550 FAULK ST, Monroe, NC 28112

Open in Google Maps ↗

Secondary Practice Locations 4

Location 1101 E W T Harris Blvd, Ste 1213Charlotte, NC 28262-3485 · Phone (704) 863-1950

Location 2447 McAlister Rd, STE 3200Lincolnton, NC 28092-4114 · Phone (980) 212-6300

Location 31237 Harding Pl, Ste 3100Charlotte, NC 28204 · Phone (704) 373-0212

Location 4134 Medical Park Rd, Ste 111 - Adult CardiologyMooresville, NC 28117-8526 · Phone (704) 801-9100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Pramesh Dhakal 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 ID6608180708

PECOS Enrollment IDI20200116002827, I20231128003306

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 Pramesh Dhakal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc

Same address

Cardiovascular Disease

1550 FAULK ST, STE 3100
Monroe, NC 28112

Reassigned Medicare billing, North Carolina and South Carolina enrollments
Also billed through NPI 1649595067 (South Carolina)
1,646 clinicians in this Medicare group

NPI 1598080087 (704) 667-3410

Health Services Of Central Georgia, Inc

232 mi

Multi-Specialty

777 HEMLOCK ST
Macon, GA 31201

Reassigned Medicare billing, Georgia enrollment
483 clinicians in this Medicare group

NPI 1184679482 (478) 633-6713

Floyd Healthcare Management Inc

269 mi

General Acute Care Hospital

304 TURNER MCCALL BLVD SW
Rome, GA 30165

Reassigned Medicare billing, Georgia enrollment
Medicare enrollment name: Floyd Physicians LLC
185 clinicians in this Medicare group

NPI 1154377166 (706) 509-5000

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 31

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

3,350 services32 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

418 services411 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

309 services301 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

280 services275 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.

206 services169 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

187 services147 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

159 services16 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

140 services40 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.

74 services43 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.

67 services64 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

51 services51 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.

48 services23 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

45 services45 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

45 services45 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.

43 services38 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

42 services42 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

42 services42 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

40 services40 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.

37 services37 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.

37 services36 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.

32 services27 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

29 services29 patients

Ct scan of blood vessels and grafts of heart with contrast 75574

A CT scan of the heart's blood vessels and grafts with contrast is a diagnostic test. A special dye (contrast) is injected into your veins, which helps create clear images of your heart's vessels and grafts. This helps doctors detect blockages or other abnormalities.

27 services27 patients

Injection, perflutren lipid microspheres, per ml Q9957

Perflutren lipid microspheres injection, per ml, is a diagnostic tool used to enhance ultrasound images. It contains tiny gas-filled bubbles that improve the clarity of the images, aiding in a more accurate diagnosis.

24 services21 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

22 services22 patients

Ct scan of blood vessels and grafts of heart with contrast 75574

20 services20 patients

Ultrasound of heart, follow-up 93308

20 services19 patients

Heart muscle strain imaging 93356

18 services18 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

17 services16 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

16 services15 patients

Blood creatinine level 82565

A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Atrium Health Anson

Acute Care Hospitals · Wadesboro, NC

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340084

Location2301 Us Highway 74 WestWadesboro, NC 28170 · Anson County

Emergency services

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340098

Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340130

Location600 Hospital DrMonroe, NC 28112 · Union County

Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340166

Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28112 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

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.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

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.

KITILA ANNA SMITH MD

Obstetrics & Gynecology

1550 FAULK ST, STE 2100
MONROE, NC 28112

Union County (704) 289-2553

LANCE E. DIEHL MD

Surgery

1550 FAULK ST, STE 3100
MONROE, NC 28112

Union County (704) 667-3410

RAJIV PAUDEL MD

Internal Medicine

1550 FAULK ST, STE 3100
MONROE, NC 28112

Union County (704) 667-3410

KELLY JONES PHILLIPS PA

Physician Assistant

1550 FAULK ST
MONROE, NC 28112

Union County (704) 289-3024

CAROLINAS PHYSICIANS NETWORK INC

Surgery

1550 FAULK ST, SUITE 2100
MONROE, NC 28112

Union County (704) 246-2889

SANTHOSH REDDY DEVARAPALLY MD

Internal Medicine (Cardiovascular Disease)

1550 FAULK ST, STE 3100
MONROE, NC 28112

Union County (704) 667-3410

BRITTANY YOUNTS ATKINSON FNP

Nurse Practitioner (Family)

1550 FAULK ST, STE 3100
MONROE, NC 28112

Union County (704) 667-3410

GREGORY MICHAEL BROUSE MD

Internal Medicine (Medical Oncology)

1550 FAULK ST
MONROE, NC 28112

Union County (980) 442-0430

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 Pramesh Dhakal's NPI number?

The NPI number for Pramesh Dhakal is 1982860581. It was assigned to this individual provider in the NPPES registry on August 3, 2008.

Where is Pramesh Dhakal located?

Pramesh Dhakal practices at 1550 Faulk St Ste 3100, Monroe, NC 28112. The listed phone number is (704) 667-3410.

What is Pramesh Dhakal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Pramesh Dhakal enrolled in Medicare?

Yes. Pramesh Dhakal 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 Pramesh Dhakal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pramesh Dhakal reassigns Medicare benefits to 3 organizations: Carolinas Physicians Network Inc (Monroe, NC), Health Services Of Central Georgia, Inc (Macon, GA) and Floyd Healthcare Management Inc (Rome, GA). 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 Pramesh Dhakal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pramesh Dhakal accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 4 other insurers list Pramesh Dhakal 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 Pramesh Dhakal affiliated with any hospitals?

According to CMS data, Pramesh Dhakal is affiliated with Atrium Health Anson, Atrium Health Pineville, Carolinas Medical Center/Behav Health, Atrium Health Union and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Pramesh Dhakal was last updated on July 22, 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.