Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Roshan Ghimire, MD

Individual provider Family Medicine Physician · NPI 1184936072

Roshan Ghimire, MD is a Family Practice in Fayetteville, New York. Qualified in 2007, 19 years ago. Practices with St Josephs Hospital Health Center, a 108-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4000 Medical Center Dr Ste 104
Fayetteville, NY 13066
Phone: (315) 637-7878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 317104 (NY)

Record details

NPI number1184936072
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2010
Last updated in NPPESJune 20, 2023
Certification dateJune 7, 2023
Mailing address4000 Medical Center Dr, Suite 104, Fayetteville, NY 13066

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice St Josephs Hospital Health Center — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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