Pratima Ghimire, MD
NPI 1548490014 · Nephrology Physician · Peabody, MA
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pratima Ghimire, MD is a Nephrology Physician provider in Peabody, MA (NPI 1548490014).
Provider details
- NPI number
- 1548490014
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 258098 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,111 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Dialysis Services, Per Day, Less Than Full Month Service (20 Years Or Older)90970 | 711 | $10 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 540 | $83 |
| Dialysis Services, Per Day, Less Than Full Month Service (20 Years Or Older)90970 | 333 | $10 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 218 | $137 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 162 | $137 |
| Dialysis Services, 4 Or More Physician Visits Per Month (20 Years Or Older)90960 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$25 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-07-19
- Last updated
- 2022-01-05
- Certified
- 2022-01-05
Frequently asked questions
- What is Pratima Ghimire's NPI number?
- Pratima Ghimire's National Provider Identifier (NPI) is 1548490014, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pratima Ghimire's specialty?
- Pratima Ghimire is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Pratima Ghimire located?
- Pratima Ghimire's practice location on file with NPPES is 6 Essex Center Dr, Peabody, MA 01960-2904.
- What is Pratima Ghimire's phone number?
- The practice phone number listed in the NPPES registry for Pratima Ghimire is (978) 531-0677.
- Does Pratima Ghimire accept Medicare?
- Pratima Ghimire is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pratima Ghimire's NPI active?
- Yes — Pratima Ghimire's NPI (1548490014) is active in the NPPES registry as of the last update on 2022-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.