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Active NPI 1730532656 Individual Practitioner Male Practitioner

Dr. Ajay Koirala , MD

Internal Medicine • Lewes, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ajay Koirala, MD is a certified Internal Medicine practicing in Lewes, DE. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Koirala delivers high-quality medical care to the local community at 424 SAVANNAH RD.

Dr. Koirala maintains professional affiliations with Tower Health Medical Group, Beebe Physician Network Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

424 Savannah Rd

Lewes, DE 199581462

Telephone 3026453525
Fax 3026453513
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lewes, DE

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs -9.0 yrs vs City Avg
City Avg: 24.0 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
44 Specialists

Practicing in Lewes, DE (625 Statewide)

Telehealth Adoption Rate
20.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koirala (15 Years) 15 Yrs
Lewes Specialty Average (24.0 Years) 24.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
102 102 $621.00 $164.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
65 65 $420.00 $122.83
99291 Critical care, first 30-74 minutes
41 40 $1123.00 $203.44

Medical Specialties & State Licenses

CMS Verified: 2025-04-24
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License DE C1-0027902

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License PA MT211346

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Tower Health Medical Group

420 S 5th Ave, West Reading, PA 196112143

Phone: 4846285455

Beebe Physician Network Inc.

424 Savannah Rd, Lewes, DE 199581462

Phone: 3026453525

Secondary Practice Locations

420 S 5th Ave

West Reading, PA 196112143

Phone: 4846288640

1305 Savannah Rd

Lewes, DE 199581501

Phone: 3022916450

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
NPI 1083641484

Doctor of Medicine (M.D.)

Kathryn Pugh , ACNPC-AG

Nurse Practitioner - Acute Care

NPI 1124763602

ACNPCAG

Peter Zingone , ACNPC-AG

Nurse Practitioner

NPI 1144762519

ACNPCAG

NPI 1154906097

Doctor of Medicine (M.D.)

Dawn Marie Dillon

Internal Medicine

NPI 1225373624
Dr. Welisane Bebe , MD

Family Medicine

NPI 1235542549

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 24, 2025

Registered at 424 SAVANNAH RD, LEWES, DE 199581462 (Tel: 3026453525)

📍
Updated Business Mailing Address April 24, 2025

Registered at 1515 SAVANNAH RD, LEWES, DE 199581675 (Tel: 3026453499)

NPI Profile Active July 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2016

Registered at 420 S 5TH AVE, WEST READING, PA 196112143 (Tel: 4846288640)

📍
Updated Business Mailing Address July 15, 2016

Registered at PO BOX 13579, READING, PA 196123579

👤
Provider Name / Credentials Updated July 15, 2016

Recorded as AJAY KOIRALA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2016

Internal Medicine (License #MT211346 in PA)

🟢
Initial NPI Registration & Enumeration July 15, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730532656
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2016
Last Update: April 24, 2025
Sole Proprietor: No

Mailing Address

1515 Savannah Rd

Lewes, DE 199581675

Phone: 3026453499

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.