MIJJAL GOPAL SHRESTHA MD
NPI 1174396790
Internal Medicine in Kingman, AZ

Q: What is Mijjal Shrestha's NPI number?

The NPI number for Mijjal Shrestha is 1174396790. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Q: What is Mijjal Shrestha's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mijjal Shrestha was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 06, 2023PECOS Enrolled

3269 N STOCKTON HILL RD, KINGMAN, AZ 86409(928) 681-8577 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2026, Nov 6, 2023 (2 updates tracked since 2023).

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About Mijjal Gopal Shrestha Md NPPES

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

MIJJAL GOPAL SHRESTHA MD (NPI 1174396790) is an individual internal medicine provider in Kingman, Arizona, licensed in Arizona (79478) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1174396790

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMIJJAL GOPAL SHRESTHACredential: MD

Location Address3269 N STOCKTON HILL RDKingman, AZ 86409-3619

Mailing Address1770 Grand Concourse Apt 7jBronx, NY 10457-5542 · (347) 638-5999

Phone(928) 681-8577

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 6, 2023

Last NPPES UpdateApril 29, 20262 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1174396790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AZ · 79478

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3269 N STOCKTON HILL RD, Kingman, AZ 86409

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Secondary Practice Location 1

Location 11650 Grand ConcourseBronx, NY 10457-7679 · Phone (347) 638-5999

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mijjal Gopal Shrestha Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325517980

PECOS Enrollment IDI20260513002809

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86409 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

LINDSAY J ESCOBEDO DO, ND, MBA

Student in an Organized Health Care Education/Training Program