Anil Ghimire, MD
NPI 1821253626 · Pulmonary Disease Physician · Fresno, CA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anil Ghimire, MD is a Pulmonary Disease Physician provider in Fresno, CA (NPI 1821253626).
Provider details
- NPI number
- 1821253626
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- C162434 (CA)
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 tenure25% of score
17 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
517 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 116 | $207 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 91 | $131 |
| Test to Measure Expiratory Airflow and Volume Changes Before and After Medication Administration94060 | 42 | $10 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 42 | $9 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 34 | $117 |
| Test to Determine Lung Volumes Using Sensors94726 | 31 | $12 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 116 | 29 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 64 | 13 |
| Montelukast Sodium | 54 | — |
| Elexacaftor/Tezacaftor/Ivacaftbrand: Trikafta | 34 | — |
| Prednisone | 27 | 17 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 23 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$121 across 6 records (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
- 2008-07-22
- Last updated
- 2024-09-16
- Certified
- 2024-09-16
Frequently asked questions
- What is Anil Ghimire's NPI number?
- Anil Ghimire's National Provider Identifier (NPI) is 1821253626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anil Ghimire's specialty?
- Anil Ghimire is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Anil Ghimire located?
- Anil Ghimire's practice location on file with NPPES is 2335 E Kashian Ln Ste 280, Fresno, CA 93701-2211.
- What is Anil Ghimire's phone number?
- The practice phone number listed in the NPPES registry for Anil Ghimire is (559) 256-5130.
- Does Anil Ghimire accept Medicare?
- Anil Ghimire is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anil Ghimire's NPI active?
- Yes — Anil Ghimire's NPI (1821253626) is active in the NPPES registry as of the last update on 2024-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.