Anil K. Ghimire, MD
NPI 1821253626ActiveIndividual· Internal Medicine, Pulmonary Disease· Fresno, CA
Internal Medicine, Pulmonary Disease (MD) with Central California Faculty Medical Group Inc and 1 other group, practicing in Fresno, California. Their prescriptions cost Medicare Part D more than their services did: $1,459,104 for 629 claims, against $48,726 paid for services in 2024. Digestive Care, Inc. was the largest of 4 companies reporting payments in 2025, $369.45 in all, mostly food and beverage. Lists Community Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1821253626 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 22, 2008 |
| Last updated in NPPES | Sep 30, 2026 |
| Certified by provider | Sep 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | C162434 | CA |
| Internal Medicine, Critical Care Medicine | 207RC0200X | C162434 | CA |
| Internal Medicine | 207R00000X | C162434 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pulmonary Disease (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 272 |
|---|---|
| Services billed | 613 across 34 procedure codes |
| Paid by Medicare | $48,726 |
Part D prescriptions in 2024
| Prescriptions (claims) | 629 · 778 30-day fills |
|---|---|
| Patients | 97 |
| Total drug cost | $1,459,104 |
| Generic share | 42% of claims |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Internal Medicine |
Medical groups
- Central California Faculty Medical Group IncFresno, CA · 265 clinicians
- Fresno Community Hospital and Medical CenterFresno, CA · 54 clinicians
Hospital affiliation
- Community Regional Medical CenterFresno, CA
Industry payments (Open Payments)
- 2025$369.45 · 11 payments from 4 companies
- 2024$120.90 · 6 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Digestive Care, Inc. | $218.28 | 3 |
| Abbvie Inc. | $95.08 | 5 |
| Vertex Pharmaceuticals Incorporated | $36.36 | 2 |
| Philips North America LLC | $19.73 | 1 |
What the 2025 payments were for
- Food and Beverage$369.45 · 11 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 37 pulmonologists in Fresno · All pulmonologists in California