SUJATA SHRESTHA MBBS
NPI 1215310529
Internal Medicine in Dover, NH

Active since July 06, 2015PECOS EnrolledAccepts Medicare Assignment
10 MEMBERS WAY FL 5, DOVER, NH 03820(603) 609-6800(603) 609-6820 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2021, Jul 14, 2020, Aug 23, 2018 (3 updates tracked since 2018).

About Sujata Shrestha Mbbs NPPES

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

SUJATA SHRESTHA MBBS (NPI 1215310529) is an individual internal medicine provider in Dover, New Hampshire, licensed in New Hampshire (20295) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with York Hospital, and maintains a secondary practice location in Dover.

NPPES Registry Identity

NPI1215310529
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUJATA SHRESTHACredential: MBBS
Location Address10 MEMBERS WAY FL 5Dover, NH 03820-5933
Mailing Address789 Central AveDover, NH 03820-2526 · (603) 609-6800
Fax(603) 609-6820
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 6, 2015
Last NPPES UpdateApril 12, 20213 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
NPI 1215310529 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 NH · 20295
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 ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 20295 (NH)
10 MEMBERS WAY FL 5, Dover, NH 03820

Secondary Practice Location 1

Location 110 Members Way Ste 400Dover, NH 03820-5933 · Phone (603) 742-1143 · Fax (603) 749-3509

Other Identifiers 1

Medicaid3123431NH

Accepted 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

Sujata Shrestha Mbbs 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 ID7012254113
PECOS Enrollment IDI20200810001781
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
347 services204 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
242 services105 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
199 services79 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
99 services61 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
63 services51 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
25 services18 patients

Hospital Affiliations CMS Care Compare 3

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

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Huggins Hospital

Critical Access Hospitals · Wolfeboro, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301312
Location240 South Main StreetWolfeboro, NH 03894 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03820 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers16 claims201 services$18.61 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers18 claims543 services$2.39 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
22 suppliers68 claims268 services$6.48 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers26 claims35 services$1.10 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers14 claims14 services$326.41 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
15 suppliers201 claims205 services$187.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
10 MEMBERS WAY FL 5
DOVER, NH 03820
Nurse Practitioner (Family)
10 MEMBERS WAY FL 5
DOVER, NH 03820
Nurse Practitioner (Family)
10 MEMBERS WAY FL 5
DOVER, NH 03820
Internal Medicine
10 MEMBERS WAY FL 5
DOVER, NH 03820
Nurse Practitioner (Adult Health)
10 MEMBERS WAY FL 5
DOVER, NH 03820
Physician Assistant
10 MEMBERS WAY FL 5
DOVER, NH 03820
Internal Medicine
10 MEMBERS WAY FL 5
DOVER, NH 03820
Nurse Practitioner (Gerontology)
10 MEMBERS WAY FL 5
DOVER, NH 03820

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 Sujata Shrestha's NPI number?

The NPI number for Sujata Shrestha is 1215310529. It was assigned to this individual provider in the NPPES registry on July 6, 2015.

Where is Sujata Shrestha located?

Sujata Shrestha practices at 10 Members Way Fl 5, Dover, NH 03820. The listed phone number is (603) 609-6800.

What is Sujata Shrestha's specialty?

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

Is Sujata Shrestha enrolled in Medicare?

Yes. Sujata 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.

What insurance does Sujata Shrestha accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Sujata 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 Sujata Shrestha affiliated with any hospitals?

According to CMS data, Sujata Shrestha is affiliated with York Hospital, Wentworth-Douglass Hospital and Huggins Hospital.

When was this NPI record last updated?

The NPPES record for Sujata Shrestha was last updated on April 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.