NANCY SHRESTHA MD
NPI 1003230517
Internal Medicine - Endocrinology, Diabetes & Metabolism in Albany, NY

Active since February 05, 2014PECOS EnrolledAccepts Medicare Assignment
71.81/100
CMS Quality Rating
5 PALISADES DR STE 200, ALBANY, NY 12205(518) 471-3636(518) 471-3668 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 10, 2023, Jun 4, 2021, Jun 27, 2016 (3 updates tracked since 2016).

About Nancy Shrestha Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NANCY SHRESTHA MD (NPI 1003230517) is an individual endocrinology, diabetes & metabolism provider in Albany, New York, licensed in New York (323834) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1003230517
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameNANCY SHRESTHACredential: MD
Location Address5 PALISADES DR STE 200Albany, NY 12205-6433
Mailing AddressPo Box 14890Albany, NY 12212-4890
Fax(518) 471-3668
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 5, 2014
Last NPPES UpdateAugust 10, 20233 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
NPI 1003230517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses Licensed in NY · 323834 Licensed in NM · MD2015-0944
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD2015-0944 (NM)
5 PALISADES DR STE 200, Albany, NY 12205

Secondary Practice Locations 5

Location 1720 Hoosick RdTroy, NY 12180-6673 · Phone (518) 471-3636 · Fax (518) 471-3668
Location 211 Hampstead Pl N Ste 103Saratoga Springs, NY 12866-5669 · Phone (518) 471-3636 · Fax (518) 471-3668
Location 363 Shaker Rd Ste 201Albany, NY 12204-1030 · Phone (518) 471-3636 · Fax (518) 471-3668
Location 42 Empire Dr Ste 100Rensselaer, NY 12144-5730 · Phone (518) 471-3636 · Fax (518) 471-3668
Location 5855 Route 146 Ste 150Clifton Park, NY 12065-3874 · Phone (518) 471-3636 · Fax (518) 471-3668

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nancy Shrestha Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719279835
PECOS Enrollment IDI20230824003231
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
175 services124 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
136 services92 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
135 services91 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
97 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
78 services63 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services16 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality88.62
Promoting Interoperability0
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers11 claims46 services$6.67 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$63.14 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$32.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
5 PALISADES DR STE 200
ALBANY, NY 12205
Nurse Practitioner (Family)
5 PALISADES DR STE 200
ALBANY, NY 12205
Nurse Practitioner (Family)
5 PALISADES DR STE 200
ALBANY, NY 12205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nancy Shrestha's NPI number?

The NPI number for Nancy Shrestha is 1003230517. It was assigned to this individual provider in the NPPES registry on February 5, 2014.

Where is Nancy Shrestha located?

Nancy Shrestha practices at 5 Palisades Dr Ste 200, Albany, NY 12205. The listed phone number is (518) 471-3636.

What is Nancy Shrestha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Nancy Shrestha enrolled in Medicare?

Yes. Nancy Shrestha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nancy Shrestha affiliated with any hospitals?

According to CMS data, Nancy Shrestha is affiliated with St Peter's Hospital, Ellis Hospital, Samaritan Hospital Of Troy, New York, Glens Falls Hospital and Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Nancy Shrestha was last updated on August 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.