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DR. PRAJWAL SHRESTHA MD
NPI 1306457312
Internal Medicine in Chicago, IL

Active since August 12, 2020PECOS Enrolled
84.57/100
CMS Quality Rating
1950 W POLK ST, CHICAGO, IL 60612(312) 864-7000 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2025, Dec 26, 2024, Aug 12, 2020 (3 updates tracked since 2020).

About Dr. Prajwal Shrestha Md NPPES

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

DR. PRAJWAL SHRESTHA MD (NPI 1306457312) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036.164275) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306457312
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRAJWAL SHRESTHACredential: MD
Location Address1950 W POLK STChicago, IL 60612-3723
Mailing Address633 S Laflin St Apt 6Chicago, IL 60607-3113 · (773) 569-4292
Phone(312) 864-7000
Sole ProprietorYes
Enumeration DateAugust 12, 2020
Last NPPES UpdateJanuary 6, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1306457312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036.164275✔ Licensed in IL · 125.076518
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.
1950 W POLK ST, Chicago, IL 60612
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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.

DR. PETRINA CHINO D.P.M.
Podiatrist (Foot & Ankle Surgery)
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-2245
CHRISTOPHER PAYNE
Nurse Anesthetist, Certified Registered
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-6000
SHARAN HARISH MALKANI MD
Internal Medicine
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-7311
ATHINA SIMOTAS DO
Ophthalmology
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. MOUNIKA LAKSHMI ALLAM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1950 W POLK ST, SUITE 4811, JOHN H STROGER HOSPITAL OF COOK COUNTY
CHICAGO, IL 60612
Cook County (312) 864-0200
MRS. ANU NAVEEN CYRIAC APRN
Family Medicine
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-7000
NATALIE MAINLAND
Urology
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-0395
DR. KIARA DANIELLE WHITE MD
Family Medicine
1950 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-2855

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 Prajwal Shrestha's NPI number?

The NPI number for Prajwal Shrestha is 1306457312. It was assigned to this individual provider in the NPPES registry on August 12, 2020.

Where is Prajwal Shrestha located?

Prajwal Shrestha practices at 1950 W Polk St, Chicago, IL 60612. The listed phone number is (312) 864-7000.

What is Prajwal Shrestha's specialty?

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

Is Prajwal Shrestha enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Prajwal Shrestha was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.