Sudip Ghimire, MD
NPI 1942536222 · Student in an Organized Health Care Education/Training Program · Newport News, VA
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sudip Ghimire, MD is a Student in an Organized Health Care Education/Training Program provider in Newport News, VA (NPI 1942536222).
Provider details
- NPI number
- 1942536222
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
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
83% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
3,790 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) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 456 | $9 |
| Blood Test, Basic Group of Blood Chemicals (calcium, Total)80048 | 429 | $8 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 429 | $124 |
| Parathormone (parathyroid Hormone) Level83970 | 335 | $40 |
| Dialysis Services, 4 Or More Physician Visits Per Month (20 Years Or Older)90960 | 320 | $335 |
| Vitamin D-3 Level82306 | 294 | $29 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 85 | 34 |
| Losartan Potassium | 85 | 31 |
| Lisinopril | 67 | 22 |
| Hydralazine Hcl | 41 | 16 |
| Calcitriol | 41 | 11 |
| Doxazosin Mesylate | 34 | 11 |
| Dapagliflozin Propanediolbrand: Farxiga | 28 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$31 across 2 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
Additional practice locations (2)
- 1 Medical Dr Dept ofLebanon, NH 03756Phone: (603) 650-5000
- 1 Medical Dr Dept ofLebanon, NH 03756Phone: (603) 650-5000
Registry dates
- Enumerated
- 2009-10-21
- Last updated
- 2021-03-22
- Certified
- 2021-03-22
Frequently asked questions
- What is Sudip Ghimire's NPI number?
- Sudip Ghimire's National Provider Identifier (NPI) is 1942536222, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sudip Ghimire's specialty?
- Sudip Ghimire is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Sudip Ghimire located?
- Sudip Ghimire's practice location on file with NPPES is 12720 Mcmanus Blvd Ste 307, Newport News, VA 23602-4414.
- What is Sudip Ghimire's phone number?
- The practice phone number listed in the NPPES registry for Sudip Ghimire is (757) 599-3436.
- Does Sudip Ghimire accept Medicare?
- Sudip Ghimire is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sudip Ghimire's NPI active?
- Yes — Sudip Ghimire's NPI (1942536222) is active in the NPPES registry as of the last update on 2021-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.