UTSAV SHRESTHA
NPI 1033665187
Internal Medicine in Pittsburgh, PA

Active since August 29, 2016PECOS EnrolledAccepts Medicare Assignment
200 LOTHROP ST, MONTEFIORE G100, PITTSBURGH, PA 15213(412) 692-4882 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2026, May 24, 2021, Aug 25, 2020 and 2 more (5 updates tracked since 2016).

About Utsav Shrestha NPPES

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

UTSAV SHRESTHA (NPI 1033665187) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD468000) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1033665187
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameUTSAV SHRESTHA
Location Address200 LOTHROP ST, MONTEFIORE G100Pittsburgh, PA 15213-2536
Mailing Address200 Lothrop St, Montefiore G100Pittsburgh, PA 15213-2536
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 29, 2016
Last NPPES UpdateMay 24, 20215 updates tracked since enumeration
NPPES CertifiedAugust 25, 2020
✔ NPI 1033665187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD468000
Definition
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.
200 LOTHROP ST, Pittsburgh, PA 15213

Secondary Practice Locations 5

Location 1351 Valley Health WayFront Royal, VA 22630-3598 · Phone (540) 636-0300
Location 21840 Amherst StWinchester, VA 22601-2808 · Phone (540) 536-8000 · Fax (540) 536-7780
Location 3200 Memorial DrLuray, VA 22835-1000 · Phone (540) 743-4560
Location 4759 S Main StWoodstock, VA 22664-1154 · Phone (540) 459-1100
Location 5120 Campus Dr Ste 221Martinsburg, WV 25404-7561 · Phone (681) 247-1280 · Fax (681) 247-1281

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Utsav Shrestha 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 ID5395071872
PECOS Enrollment IDI20260629000676
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Utsav Shrestha reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1200 JD ANDERSON DRIVE
Morgantown, WV 26505
  • Reassigned Medicare billing, West Virginia enrollment
  • 318 clinicians in this Medicare group
Critical Access
150 MEMORIAL DR
Kingwood, WV 26537
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1841230661 (West Virginia)
  • 112 clinicians in this Medicare group
Pulmonary Disease
190 CAMPUS BLVD STE 201
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 756 clinicians in this Medicare group
Family Medicine
116 FOUNDERS WAY STE 2
Strasburg, VA 22657
  • Reassigned Medicare billing, Virginia enrollment
  • 416 clinicians in this Medicare group
Rural Health
67 RIVERTON COMMONS DR
Front Royal, VA 22630
  • Reassigned Medicare billing, Virginia enrollment
  • 367 clinicians in this Medicare group
Rural Health
625 VIRGINIA AVE
Front Royal, VA 22630
  • Reassigned Medicare billing, Virginia enrollment
  • 364 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 20

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

Nurse Anesthetist, Certified Registered
200 LOTHROP ST
PITTSBURGH, PA 15213
Surgery (Vascular Surgery)
200 LOTHROP ST, F600 PRESBYTERIAN HOSPITAL
PITTSBURGH, PA 15213
Nurse Practitioner (Critical Care Medicine)
200 LOTHROP ST, 613 SCAIFE HALL
PITTSBURGH, PA 15213
Internal Medicine (Critical Care Medicine)
200 LOTHROP ST
PITTSBURGH, PA 15213
Occupational Therapist
200 LOTHROP ST
PITTSBURGH, PA 15213
Neurological Surgery
200 LOTHROP ST
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
200 LOTHROP ST
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
200 LOTHROP ST
PITTSBURGH, PA 15213

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 Utsav Shrestha's NPI number?

The NPI number for Utsav Shrestha is 1033665187. It was assigned to this individual provider in the NPPES registry on August 29, 2016.

Where is Utsav Shrestha located?

Utsav Shrestha practices at 200 Lothrop St Montefiore G100, Pittsburgh, PA 15213. The listed phone number is (412) 692-4882.

What is Utsav Shrestha's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Utsav Shrestha enrolled in Medicare?

Yes. Utsav 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.

Which organizations bill Medicare for Utsav Shrestha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Utsav Shrestha reassigns Medicare benefits to 6 organizations: Monongalia County General Hospital Company (Morgantown, WV), Preston Memorial Hospital Corporation (Kingwood, WV), Winchester Medical Center (Winchester, VA), Shenandoah Memorial Hospital, Inc. (Strasburg, VA), Warren Memorial Hospital, Inc. (Front Royal, VA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Utsav Shrestha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Utsav Shrestha accept?

Health plans from CareSource list Utsav Shrestha 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 Utsav Shrestha affiliated with any hospitals?

According to CMS data, Utsav Shrestha is affiliated with Winchester Medical Center.

When was this NPI record last updated?

The NPPES record for Utsav Shrestha was last updated on May 24, 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.