Active NPI
Pushpa Khanal, M.D.
- Hospitalist Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 319203
- Practice address
- 1425 Portland Ave
Rochester, NY 14621-3011 - Phone
- (585) 922-5027
- NPI assigned
- May 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 319203 | NY | |
| Hospitalist Physician | 208M00000X | 319203 | NY | Primary |
Addresses
Primary practice location
1425 Portland Ave
Rochester, NY 14621-3011
Mailing address
One Guthrie Square, Internal Medicine Residency Guthrie
Sayre, PA 18840
Phone (971) 706-8630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9666
Hospital & facility affiliations
- Tanner Medical Center - Carrollton
- Tanner Medical Center Villa Rica
- Higgins General Hospital
- Tanner Medical Center-East Alabama
- Higgins General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.29 of 100
- Quality
- 70.79
- Improvement activities
- 40
- Cost
- 81.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Georgia | Internal Medicine | Current | Accepting new patients |
| Tanner Medical Center, Inc | Past | Accepting new patients | |
| TMC/Villa Rica Hospital, Inc | Past | Accepting new patients |
Locations
200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851
705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1629025143
-
- General Acute Care Hospital
- Carrollton, GA
- NPI 1801883780
-
- General Acute Care Hospital
- Villa Rica, GA
- NPI 1851388748
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Wedowee, AL
- NPI 1912428301
-
- General Acute Care Hospital
- Carrollton, GA
- NPI 1801883780
-
- Critical Access Hospital
- Bremen, GA
- NPI 1194712083
-
- Medicare Defined Swing Bed Hospital Unit
- Bremen, GA
- NPI 1598741647
Nursing home
-
- General Acute Care Hospital
- Villa Rica, GA
- NPI 1851388748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1972168367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE GUTHRIE SQUARE, INTERNAL MEDICINE RESIDENCY GUTHRIE",
"city": "SAYRE",
"state": "PA",
"postal_code": "18840",
"telephone_number": "971-706-8630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213011",
"telephone_number": "585-922-5027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANAL",
"first_name": "PUSHPA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-01",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "319203",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "319203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.