SHRISTI UPADHYAY BANSKOTA MD
NPI 1043796485
Internal Medicine in Sioux Falls, SD

Q: What is Shristi Upadhyay Banskota's NPI number?

The NPI number for Shristi Upadhyay Banskota is 1043796485. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Q: What is Shristi Upadhyay Banskota's specialty?

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

Active since July 18, 2018PECOS EnrolledAccepts Medicare Assignment

1325 S CLIFF AVE, SIOUX FALLS, SD 57105(605) 322-3035 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shristi Upadhyay Banskota Md NPPES

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

SHRISTI UPADHYAY BANSKOTA MD (NPI 1043796485) is an individual internal medicine provider in Sioux Falls, South Dakota, licensed in Illinois (125071676) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Sioux Center Health, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1043796485

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSHRISTI UPADHYAY BANSKOTACredential: MD

Location Address1325 S CLIFF AVESioux Falls, SD 57105-1007

Mailing Address1901 W Harrison StChicago, IL 60612-3714 · (312) 864-6000

Phone(605) 322-3035

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 18, 2018

Last NPPES UpdateNovember 1, 2024

NPPES CertifiedOctober 28, 2024

✔ NPI 1043796485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in IL · 125071676✔ Licensed in SD · 15259

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.

1325 S CLIFF AVE, Sioux Falls, SD 57105

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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

Shristi Upadhyay Banskota 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 ID8628313855

PECOS Enrollment IDI20240918003600

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

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

46 services46 patients

Hospital Affiliations CMS Care Compare 5

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

Sioux Center Health

Critical Access Hospitals · Sioux Center, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161346

Location1101 9th Street SESioux Center, IA 51250 · Sioux County

Emergency services

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430015

Location801 E SiouxPierre, SD 57501 · Hughes County

Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430016

Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Avera Gregory Hospital

Critical Access Hospitals · Gregory, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431338

Location110 S Logan AveGregory, SD 57533 · Gregory County

Emergency services

Avera Queen Of Peace

Critical Access Hospitals · Mitchell, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431340

Location525 N FosterMitchell, SD 57301 · Davison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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

$126.78 typical visit price

range $55.52 – $167.23

Typical copayment $31.69 (range $13.88 – $41.80)

Most-billed visit code 99204

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

DR. CHETAN JIWAN WASEKAR M.D.

Hospitalist

1325 S CLIFF AVE, SUITE 4421
SIOUX FALLS, SD 57105

Minnehaha County (605) 322-7645

ERICA GEERDES PT, DPT

Physical Therapist