Prashanta Koirala, M.D.
NPI 1437368180 · Internal Medicine Physician · Winchester, VA
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prashanta Koirala, M.D. is a Internal Medicine Physician provider in Winchester, VA (NPI 1437368180).
Provider details
- NPI number
- 1437368180
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0101262674 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
279 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 76 | $76 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 51 | $47 |
| Advance Care Planning, First 30 Minutes99497 | 45 | $72 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 44 | $125 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 37 | $166 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Frequently asked questions
- What is Prashanta Koirala's NPI number?
- Prashanta Koirala's National Provider Identifier (NPI) is 1437368180, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prashanta Koirala's specialty?
- Prashanta Koirala is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prashanta Koirala located?
- Prashanta Koirala's practice location on file with NPPES is 190 Campus Blvd Ste 200, Winchester, VA 22601-2872.
- What is Prashanta Koirala's phone number?
- The practice phone number listed in the NPPES registry for Prashanta Koirala is (540) 662-6135.
- Does Prashanta Koirala accept Medicare?
- Prashanta Koirala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prashanta Koirala's NPI active?
- Yes — Prashanta Koirala's NPI (1437368180) is active in the NPPES registry as of the last update on 2026-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.