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Internal Medicine

Pratibha Phuyal, MD

Works at hospitals in Easton, MD · Maryland

Summary

Dr. Pratibha Phuyal, MD is an internal medicine doctor at 100 Hospital Rd, Prince Frederick, MD 20678. Phone: (410) 535-8344. Accepts Medicare assignment. In 2024, Pratibha Phuyal had 409 Original Medicare patients and 1,408 services. NPI 1114470994. Source: CMS National Downloadable File, updated October 2, 2026; CMS Facility Affiliation Data, updated October 2, 2026; CMS Medicare Physician & Other Practitioners, data year 2024.

  • Specialty: Internal medicine doctor (Medicare lists Internal Medicine)
  • Address: 100 Hospital Rd, Prince Frederick, MD 20678 · Directions (2 more locations)
  • Phone: (410) 535‑8344
  • Medicare: Accepts Medicare assignment
  • Hospital: University of MD Shore Medical Center at Easton
  • Group practice: Emergency Medicine Associates P.A., P.C. (+1 more)
  • Medical school: graduated 2014 (12 years since medical school)
  • Gender (as listed): Female

From official Medicare data

This page shows what Medicare's official clinician data says about Pratibha Phuyal, joined by NPI number (data updated October 2, 2026). It is not a recommendation or a rating. Call the office or hospital to confirm before you go.

In a medical emergency, call 911.

Quick answers

Does Pratibha Phuyal accept Medicare assignment?
Yes. Medicare's clinician data says Pratibha Phuyal accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
How many Medicare patients does Pratibha Phuyal see?
In 2024, CMS data shows 409 Original Medicare patients and 1,408 services for Pratibha Phuyal. This counts Original Medicare only and measures volume, not quality.
What is Pratibha Phuyal's NPI number?
1114470994. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.

Medicare activity in 2024

Official CMS public-use data for Pratibha Phuyal, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.

Original Medicare patients409
Services billed to Medicare1,408
Different services or procedures10
Participating Medicare providerYes
Average age of these patients76

Most frequent services

  1. Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)956 services
  2. Hospital discharge day management, more than 30 minutes (99239)222 services
  3. Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)107 services
  4. Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)103 services
  5. Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)11 services

Chronic conditions among these patients

Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).

  • High blood pressure75%
  • High cholesterol75%
  • Arthritis54%
  • Ischemic heart disease47%
  • Heart failure47%
  • Diabetes46%

Hospitals where Pratibha Phuyal works

Medicare's Facility Affiliation Data lists Pratibha Phuyal at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.

Practice locations

Addresses where Pratibha Phuyal is enrolled with Medicare (CMS data updated October 2, 2026).

Group practices

Medicare enrollment lists Pratibha Phuyal as a member of these groups (CMS data updated October 2, 2026).

  • Emergency Medicine Associates P.A., P.C.714 clinicians in the group
  • Shore-Bayy Hospitalists Associates22 clinicians in the group

Specialties

Find other Internal Medicine doctors in Maryland →

Other internal medicine doctors in Prince Frederick

Clinicians with the same Medicare primary specialty in Prince Frederick, MD — not a recommendation.

All internal medicine doctors in Prince Frederick →

Other clinicians in Emergency Medicine Associates P.A., P.C.

Medicare enrollment lists these clinicians in the same group practice — not a recommendation.

Clinician information

CredentialMD
Graduation year2014 (12 years since medical school)
Gender (as listed)Female
Medicare assignmentAccepts (Medicare-approved amount as full payment)
NPI (National Provider Identifier)1114470994
CorrectionsReport an error or suggest an update →

Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.

Sources

  1. Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
  2. Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
  3. National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
  4. Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
  5. NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
  6. Medicare Care Compare — official Medicare tool to look up clinicians