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

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: October 18, 2026.

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

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Mijjal Shrestha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Apogee Medical Group Inc
54 mi
Internal Medicine
101 CIVIC CENTER LN
Lake Havasu City, AZ 86403
  • Reassigned Medicare billing, Arizona enrollment
  • 240 clinicians in this Medicare group
NPI 1760652218 (928) 855-8185

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

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
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 263-4466
MS. CARIDAD PADRON MD
Internal Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 757-2101
MICHAEL DEBOER D.O
Family Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (702) 222-4307
DR. TANNER JACE HANCOCK DO
Student in an Organized Health Care Education/Training Program
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 263-3160
MR. MICHAEL MOORE RPH
Pharmacist (Geriatric)
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 263-4884
KRIKOR KRIKORIAN DO
Family Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 757-2101
ALEXANDRE GREBENCHTCHIKOV
Family Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (716) 560-1845
MS. JUVY ESCALANTE PA
Physician Assistant
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 757-2101

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 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.

Where is Mijjal Shrestha located?

Mijjal Shrestha practices at 3269 N Stockton Hill Rd, Kingman, AZ 86409. The listed phone number is (928) 681-8577.

What is Mijjal Shrestha's specialty?

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

Is Mijjal Shrestha enrolled in Medicare?

Yes. Mijjal Shrestha is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mijjal Shrestha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mijjal Shrestha reassigns Medicare benefits to Apogee Medical Group Inc (Lake Havasu City, AZ). 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 Mijjal Shrestha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mijjal Shrestha accept?

Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Mijjal 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.

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 5 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.