Roshan Ghimire, MD
Family Medicine in Fayetteville, NY. Individual provider (NPI-1).
NPI number1184936072
StatusActive
Last updated in NPPESJun 20, 2023
Details
- NPI
- 1184936072
- Entity type
- Individual (NPI-1)
- Name
- Roshan Ghimire
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2010
- Certification date
- Jun 7, 2023
- Last updated
- Jun 20, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 317104 | NY | Yes |
Practice location
4000 Medical Center DrSuite 104
Fayetteville, NY 13066
Phone 315-637-7878
Mailing address
4000 Medical Center DrSuite 104
Fayetteville, NY 13066
Phone 315-637-7878
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