SHRISTI UPADHYAY BANSKOTA MD
NPI 1043796485
Internal Medicine in Sioux Falls, SD
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Shristi Upadhyay Banskota reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 1,277 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.
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.
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, IAAvera St Mary's Hospital
Acute Care Hospitals · Pierre, SDAvera Mckennan Hospital & University Health Center
Acute Care Hospitals · Sioux Falls, SDAvera Gregory Hospital
Critical Access Hospitals · Gregory, SDAvera Queen Of Peace
Critical Access Hospitals · Mitchell, SDPhysician 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.
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.
SIOUX FALLS, SD 57105
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 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.
Where is Shristi Upadhyay Banskota located?
Shristi Upadhyay Banskota practices at 1325 S Cliff Ave, Sioux Falls, SD 57105. The listed phone number is (605) 322-3035.
What is Shristi Upadhyay Banskota's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Shristi Upadhyay Banskota enrolled in Medicare?
Yes. Shristi Upadhyay Banskota 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 organization bills Medicare for Shristi Upadhyay Banskota's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shristi Upadhyay Banskota reassigns Medicare benefits to Avera Mckennan (Sioux Falls, SD). The 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 Shristi Upadhyay Banskota's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shristi Upadhyay Banskota accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Shristi Upadhyay Banskota 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 Shristi Upadhyay Banskota affiliated with any hospitals?
According to CMS data, Shristi Upadhyay Banskota is affiliated with Sioux Center Health, Avera St Mary's Hospital, Avera Mckennan Hospital & University Health Center, Avera Gregory Hospital and Avera Queen Of Peace.
When was this NPI record last updated?
The NPPES record for Shristi Upadhyay Banskota was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Shristi Upadhyay Banskota, MD · NPI 1043796485
Internal Medicine physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since July 18, 2018.
## Identity
- **NPI:** 1043796485 (Entity type: Individual)
- **Enumerated:** July 18, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 125071676 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1325 S CLIFF AVE, Sioux Falls, SD 57105-1007
- **Phone:** (605) 322-3035
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Avera Mckennan (NPI 1053680678, Sioux Falls, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** November 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1043796485) · Data from the CMS NPPES public registry.