Shankar Ghimire, M.D.
NPI 1851693378 · Family Medicine Physician · Fremont, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shankar Ghimire, M.D. is a Family Medicine Physician provider in Fremont, CA (NPI 1851693378).
Provider details
- NPI number
- 1851693378
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- A114532 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 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
4,255 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) |
|---|---|---|
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 3,186 | $124 |
| Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More99306 | 412 | $206 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 386 | $86 |
| Advance Care Planning, First 30 Minutes99497 | 92 | $84 |
| Nursing Facility Discharge Management, More Than 30 Minutes99316 | 84 | $148 |
| Subsequent Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, at Least 45 Minutes99310 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 133 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 625 | 116 |
| Amlodipine Besylate | 440 | 70 |
| Apixabanbrand: Eliquis | 352 | 50 |
| Gabapentin | 274 | 65 |
| Levothyroxine Sodium | 248 | 44 |
| Pantoprazole Sodium | 244 | 55 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$36 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
- 2010-12-04
- Last updated
- 2011-07-15
Frequently asked questions
- What is Shankar Ghimire's NPI number?
- Shankar Ghimire's National Provider Identifier (NPI) is 1851693378, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shankar Ghimire's specialty?
- Shankar Ghimire is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shankar Ghimire located?
- Shankar Ghimire's practice location on file with NPPES is 734 Mowry Ave, Fremont, CA 94536-4115.
- What is Shankar Ghimire's phone number?
- The practice phone number listed in the NPPES registry for Shankar Ghimire is (510) 742-6274.
- Does Shankar Ghimire accept Medicare?
- Shankar Ghimire is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shankar Ghimire's NPI active?
- Yes — Shankar Ghimire's NPI (1851693378) is active in the NPPES registry as of the last update on 2011-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.