Dr Mahesh Nepal, MD - Medicare Hospitalist in Rochester, NY

Dr Mahesh Nepal, MD is a medicare enrolled "Hospitalist" physician in Rochester, New York. His current practice location is 1425 Portland Avenue, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at (585) 922-4000.

Dr Mahesh Nepal is licensed to practice in New York (license number 317869) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972165033.

Contact Information

Dr Mahesh Nepal, MD
1425 Portland Avenue,
Rochester, NY 14621
(585) 922-4000
Not Available

Map and Direction




Physician's Profile

Full NameDr Mahesh Nepal
GenderMale
SpecialityHospitalist
Location1425 Portland Avenue, Rochester, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972165033
  • Provider Enumeration Date: 06/28/2019
  • Last Update Date: 07/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476882044
  • Enrollment ID: I20220716000235

Medical Identifiers

Medical identifiers for Dr Mahesh Nepal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972165033NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 317869 (New York)Primary
207R00000XInternal Medicine 317869 (New York)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mahesh Nepal allows following entities to bill medicare on his behalf.
Entity NameDepartment Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063468239
PECOS PAC ID: 3274445796
Enrollment ID: O20031104000051
Entity NameUpstate Community Medical, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689620163
PECOS PAC ID: 0143238782
Enrollment ID: O20060323000644

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mahesh Nepal is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mahesh Nepal, MD
1425 Portland Avenue,
Rochester, NY 14621

Ph: (585) 922-4000
Dr Mahesh Nepal, MD
1425 Portland Avenue,
Rochester, NY 14621

Ph: (585) 922-4000

Reviews and Comments


Hospitalist Doctors in Rochester, NY

Julie E. Yoon, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 300 White Spruce Blvd, Suite 100, Rochester, NY 14623
Phone: 585-424-7032    Fax: 585-427-2712
Pradeep Parajuli, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1425 Portland Ave, Rochester, NY 14621
Phone: 585-922-5067    Fax: 585-922-2908
Mahmoud Eisa,
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1425 Portland Ave, Rochester, NY 14621
Phone: 585-922-5067    
Stephen M Silver, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1425 Portland Ave, Rochester, NY 14621
Phone: 585-922-0403    Fax: 585-922-0455
Dr. Justin F Lynn, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 601 Elmwood Ave, Box 667, Rochester, NY 14642
Phone: 585-276-4113    Fax: 585-275-0707
Jesse Rizkalla, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1425 Portland Ave, Rochester, NY 14621
Phone: 585-922-5067    Fax: 585-922-2908
Nayan Patel, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 601 Elmwood Ave, Box Med, Rochester, NY 14642
Phone: 585-275-2874    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.