Raj Ghimire, M.D.,
NPI 1669605416 · Hospitalist Physician · Lebanon, PA
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raj Ghimire, M.D., is a Hospitalist Physician provider in Lebanon, PA (NPI 1669605416).
Provider details
- NPI number
- 1669605416
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.,
- Sex
- Male
- Sole proprietor
- No
- License
- 0101273704 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
588 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 | 344 | $77 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 93 | $115 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 91 | $108 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 23 | $168 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 20 | $77 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 17 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clopidogrel Bisulfatebrand: Clopidogrel | 17 | 11 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 16 | 15 |
| Apixabanbrand: Eliquis | 16 | — |
| Furosemide | 15 | 13 |
| Levofloxacin | 14 | 14 |
| Amlodipine Besylate | 12 | — |
| Pantoprazole Sodium |
Practice location
Mailing address
Additional practice locations (1)
- 169 Martin AveEphrata, PA 17522-1734Phone: (717) 721-4740Fax: (717) 738-6872
Registry dates
- Enumerated
- 2009-08-27
- Last updated
- 2026-04-17
- Certified
- 2026-04-17
Frequently asked questions
- What is Raj Ghimire's NPI number?
- Raj Ghimire's National Provider Identifier (NPI) is 1669605416, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raj Ghimire's specialty?
- Raj Ghimire is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Raj Ghimire located?
- Raj Ghimire's practice location on file with NPPES is 252 S 4th St Fl 2, Lebanon, PA 17042-6111.
- What is Raj Ghimire's phone number?
- The practice phone number listed in the NPPES registry for Raj Ghimire is (717) 270-4876.
- Does Raj Ghimire accept Medicare?
- Raj Ghimire is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raj Ghimire's NPI active?
- Yes — Raj Ghimire's NPI (1669605416) is active in the NPPES registry as of the last update on 2026-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.