DR. RAJ K SHRESTHA MD
NPI 1245532548
Internal Medicine in Williamson, WV
About Dr. Raj K Shrestha Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAJ K SHRESTHA MD (NPI 1245532548) is an individual internal medicine provider in Williamson, West Virginia, licensed in West Virginia (24867) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Raj K Shrestha 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 Raj Shrestha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dover, DE 19901
- Reassigned Medicare billing, Delaware enrollment
- 166 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 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 25661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Raj Shrestha's NPI number?
The NPI number for Raj Shrestha is 1245532548. It was assigned to this individual provider in the NPPES registry on November 19, 2010.
Where is Raj Shrestha located?
Raj Shrestha practices at 213 Logan St, Williamson, WV 25661. The listed phone number is (304) 236-5924.
What is Raj Shrestha's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Raj Shrestha enrolled in Medicare?
Yes. Raj 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.
Which organization bills Medicare for Raj Shrestha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raj Shrestha reassigns Medicare benefits to Apogee Medical Group, Delaware, Inc (Dover, DE). 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 Raj Shrestha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Raj Shrestha was last updated on July 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Dr. Raj K Shrestha, MD · NPI 1245532548
Internal Medicine physician in Williamson, West Virginia. Individual provider, active in the CMS NPPES registry since November 19, 2010.
## Identity
- **NPI:** 1245532548 (Entity type: Individual)
- **Enumerated:** November 19, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 24867 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 213 LOGAN ST, Williamson, WV 25661-3607
- **Phone:** (304) 236-5924 · **Fax:** (304) 236-5927
## 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:** Apogee Medical Group, Delaware, Inc (NPI 1326485285, Dover, DE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** July 23, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1245532548) · Data from the CMS NPPES public registry.