Shanker Ghimire, M.D.
NPI 1639325657 · Hospitalist Physician · Jersey City, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shanker Ghimire, M.D. is a Hospitalist Physician provider in Jersey City, NJ (NPI 1639325657).
Provider details
- NPI number
- 1639325657
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2010-00872 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 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
644 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 | 241 | $73 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 234 | $110 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 134 | $106 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 21 | $122 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 14 | $161 |
Typical Medicare-allowed amounts for these services range $73–$161 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 58 | 48 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 43 | 32 |
| Apixabanbrand: Eliquis | 41 | 27 |
| Prednisone | 37 | 37 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 33 | 32 |
| Midodrine Hcl | 31 | 18 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-08-10
- Last updated
- 2021-03-30
- Certified
- 2021-03-30
Frequently asked questions
- What is Shanker Ghimire's NPI number?
- Shanker Ghimire's National Provider Identifier (NPI) is 1639325657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shanker Ghimire's specialty?
- Shanker Ghimire is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Shanker Ghimire located?
- Shanker Ghimire's practice location on file with NPPES is 355 Grand St, Jersey City, NJ 07302-4321.
- What is Shanker Ghimire's phone number?
- The practice phone number listed in the NPPES registry for Shanker Ghimire is (201) 915-2000.
- Does Shanker Ghimire accept Medicare?
- Shanker Ghimire is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shanker Ghimire's NPI active?
- Yes — Shanker Ghimire's NPI (1639325657) is active in the NPPES registry as of the last update on 2021-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.