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SHREEDHAR ADHIKARI MD
NPI 1033560057
Internal Medicine - Nephrology in West Branch, MI

Active since June 30, 2016PECOS EnrolledAccepts Medicare Assignment
648 PROGRESS ST STE 101, WEST BRANCH, MI 48661(989) 345-0204(989) 345-3727 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jun 25, 2021, Jun 21, 2019, Jun 10, 2019 and 2 more (5 updates tracked since 2016).

About Shreedhar Adhikari Md NPPES

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

SHREEDHAR ADHIKARI MD (NPI 1033560057) is an individual nephrology provider in West Branch, Michigan, licensed in Michigan (4301503390) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1033560057
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameSHREEDHAR ADHIKARICredential: MD
Location Address648 PROGRESS ST STE 101West Branch, MI 48661-8602
Mailing Address6220 Fairway Pines Court 2Bay City, MI 48706-9350
Phone(989) 345-0204
Fax(989) 345-3727
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 30, 2016
Last NPPES UpdateJune 25, 20215 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
✔ NPI 1033560057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MI · 4301503390
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
648 PROGRESS ST STE 101, West Branch, MI 48661
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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

Shreedhar Adhikari 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 ID4385978568
PECOS Enrollment IDI20210519001338
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 8

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.

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.
406 services128 patients
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.
306 services222 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
198 services54 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
60 services59 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
42 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients

Hospital Affiliations CMS Care Compare 5

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

Mymichigan Medical Center West Branch

Acute Care Hospitals · West Branch, MI
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230095
Location2463 South M-30West Branch, MI 48661 · Ogemaw County
Emergency services Birthing friendly

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230180
Location703 N Mcewan StClare, MI 48617 · Clare County

Scheurer Hospital

Critical Access Hospitals · Pigeon, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231310
Location170 N Caseville RdPigeon, MI 48755 · Huron County
Emergency services

Mclaren Thumb Region

Critical Access Hospitals · Bad Axe, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231340
Location1100 S Van Dyke RdBad Axe, MI 48413 · Huron County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48661 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 2

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

DR. DAVID BRYAN BUTCHER MD
Internal Medicine
648 PROGRESS ST STE 101
WEST BRANCH, MI 48661
Ogemaw County (989) 345-0204
SESHMA RAMSAWAK MD
Internal Medicine (Nephrology)
648 PROGRESS ST STE 101
WEST BRANCH, MI 48661
Ogemaw County (989) 345-0202

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 Shreedhar Adhikari's NPI number?

The NPI number for Shreedhar Adhikari is 1033560057. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Where is Shreedhar Adhikari located?

Shreedhar Adhikari practices at 648 Progress St Ste 101, West Branch, MI 48661. The listed phone number is (989) 345-0204.

What is Shreedhar Adhikari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Shreedhar Adhikari enrolled in Medicare?

Yes. Shreedhar Adhikari 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.

What insurance does Shreedhar Adhikari accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Shreedhar Adhikari as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shreedhar Adhikari affiliated with any hospitals?

According to CMS data, Shreedhar Adhikari is affiliated with Mclaren Bay Region, Mymichigan Medical Center West Branch, Mymichigan Medical Center Clare, Scheurer Hospital and Mclaren Thumb Region.

When was this NPI record last updated?

The NPPES record for Shreedhar Adhikari was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.