PRASHANTA KOIRALA (M.D.) – Internal Medicine Physician, NPI 1437368180
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,234 HOSPITALIST in VA
Provider Addresses for PRASHANTA KOIRALA (M.D.)
220 CAMPUS BLVD STE 100
WINCHESTER, VA 226012896
Phone: (540) 536-5100
Fax: (540) 536-0235
Type: Mailing
190 CAMPUS BLVD STE 200
WINCHESTER, VA 226012872
Phone: (540) 662-6135
Fax: (540) 662-5845
Type: Location
University Health Conway, 4864, Jackson Street, Robinson Place, Monroe, Ouachita Parish, Louisiana, 71202, United States
MONROE, LA 712026400
Phone: (318) 330-7626
Fax: (318) 330-7648
Type: Mailing
333 W CORK ST STE 290
WINCHESTER, VA 226013870
Phone: (540) 536-5123
Fax: (540) 536-3261
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-01-10
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 |
|---|---|---|---|---|
| I20180110000388 | I | Hospitalist | VA | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 121 | 69 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 80 | 58 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 52 | 52 | $0 |
| 99497 | Advance care planning, first 30 minutes | 52 | 48 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 35 | 29 | $0 |
Insurance plans in this area (ZIP 22601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | VA | |
| Internal Medicine | VA | |
| Family Practice, Internal Medicine | VA | |
| Internal Medicine | VA | |
| Internal Medicine | VA | |
| Internal Medicine | VA | |
| Internal Medicine | VA | |
| - | VA |
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