DR. ROSHAN MAINALI (M.D.) – Nephrology Physician, NPI 1700990629
Nephrology Physician
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Profile Insights
NPPES metrics only — not quality of care.
738 NEPHROLOGY in PA
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Provider Addresses for DR. ROSHAN MAINALI (M.D.)
Geisinger Lewistown, 21, Geisinger Lane, Lewistown, Mifflin County, Pennsylvania, 17044, United States
LEWISTOWN, PA 170443400
Phone: (717) 242-4200
Fax: (717) 242-4212
Type: Location
Geisinger Medical Center Danville, 100, North Academy Avenue, Danville, Montour County, Pennsylvania, 17822, United States
DANVILLE, PA 178223034
Phone: (570) 271-6144
Fax: (570) 271-6578
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Fresenius USA Marketing, Inc. | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-12-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061212000123 | I | Nephrology | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 147 | 109 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 121 | 61 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 42 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 41 | 14 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 40 | 37 | $0 |
Insurance plans in this area (ZIP 17044)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| - | PA | |
| P S Y C H I A T R Y | NY | |
| Internal Medicine, Hospice/Palliative Care | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | PA | |
| - | PA | |
| - | PA | |
| Physician Assistant | PA |
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