SHRIPAL SHRISHRIMAL M.D.
NPI 1316181571
Internal Medicine - Pulmonary Disease in Butler, PA

Q: What is Shripal Shrishrimal's NPI number?

The NPI number for Shripal Shrishrimal is 1316181571. It was assigned to this individual provider in the NPPES registry on April 30, 2009.

Q: What is Shripal Shrishrimal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since April 30, 2009PECOS EnrolledAccepts Medicare Assignment

389 NEW CASTLE RD, BUTLER, PA 16001(724) 282-2216(724) 282-1861 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Sep 3, 2024, Feb 9, 2017 (3 updates tracked since 2017).

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About Shripal Shrishrimal M.d. NPPES

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

SHRIPAL SHRISHRIMAL M.D. (NPI 1316181571) is an individual pulmonary disease provider in Butler, Pennsylvania, licensed in Pennsylvania (MD430109) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Clarion Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316181571

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameSHRIPAL SHRISHRIMALCredential: M.D.

Location Address389 NEW CASTLE RDButler, PA 16001-1743

Mailing AddressPo Box 1549Butler, PA 16003-1549 · (724) 282-4060 · Fax (724) 284-4144

Phone(724) 282-2216

Fax(724) 282-1861

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateApril 30, 2009

Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2025

✔ NPI 1316181571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in PA · MD430109

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

389 NEW CASTLE RD, Butler, PA 16001

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Secondary Practice Locations 2

Location 11 Mellon WayLatrobe, PA 15650-1197 · Phone (724) 537-2210 · Fax (724) 537-2545

Location 2530 South St Ste BGreensburg, PA 15601-2775 · Phone (724) 837-1894 · Fax (724) 837-0681

Other Identifiers 4

OtherP00794090PA · Railroad Medicare

OtherSH2135773PA · Pa Blue Shield

Other000000275877Unison Health Plan

Medicaid102398828PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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

Shripal Shrishrimal M.d. 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 ID4587718580

PECOS Enrollment IDI20090810000525

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 Reassignments

Medicare enrollment records show Shripal Shrishrimal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Butler Medical Providers

Same address

Pulmonary Disease

389 NEW CASTLE RD
Butler, PA 16001

Reassigned Medicare billing, Pennsylvania enrollment
482 clinicians in this Medicare group

NPI 1053799221 (833) 906-0108

Shri Pulmonary & Sleep Associates LLC

2.7 mi

Sleep Medicine

1610 N MAIN STREET EXT
Butler, PA 16001

Reassigned Medicare billing, Pennsylvania enrollment

NPI 1275151177 (724) 282-0755

Excela Health Physician Practices, Inc.

34 mi

Internal Medicine

4057 OLD WILLIAM PENN HWY
Murrysville, PA 15668

Reassigned Medicare billing, Pennsylvania enrollment
669 clinicians in this Medicare group

NPI 1649542705 (724) 519-7541

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 16

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.

154 services104 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

116 services63 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

79 services36 patients

Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399

A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.

76 services76 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

61 services36 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

51 services51 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

47 services45 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

43 services43 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

42 services42 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

40 services40 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

29 services29 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

17 services16 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

14 services13 patients

Sleep study in sleep lab (6 years or older) 95810

13 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Clarion Hospital

Acute Care Hospitals · Clarion, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390093

LocationOne Hospital DriveClarion, PA 16214 · Clarion County

Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390114

Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County

Emergency services Birthing friendly

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390145

Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County

Emergency services Birthing friendly

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390168

LocationOne Hospital WayButler, PA 16001 · Butler County

Emergency services Birthing friendly

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390219

LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 19

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

9 suppliers34 claims34 services$31.22 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

10 suppliers56 claims56 services$73.42 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

10 suppliers54 claims147 services$29.04 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

6 suppliers21 claims115 services$16.52 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

8 suppliers25 claims25 services$43.32 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

13 suppliers51 claims51 services$15.48 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

8 suppliers40 claims40 services$10.98 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

15 suppliers81 claims445 services$1.70 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

7 suppliers11 claims11 services$4.87 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

12 suppliers41 claims41 services$10.27 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers37 claims37 services$13.79 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$915.44 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

3 suppliers25 claims25 services$73.41 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier19 claims20 services$9.73 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers18 claims18 services$4.83 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

6 suppliers66 claims67 services$29.18 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

8 suppliers155 claims155 services$74.50 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers42 claims45 services$32.51 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers15 claims15 services$24.32 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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTYN HOLMES CRNP

Nurse Practitioner

389 NEW CASTLE RD
BUTLER, PA 16001

Butler County (724) 282-2216

NICHOLAS A LASLAVIC

Physician Assistant (Medical)

389 NEW CASTLE RD
BUTLER, PA 16001

Butler County (833) 906-0108

BUTLER MEDICAL PROVIDERS

Internal Medicine (Pulmonary Disease)

389 NEW CASTLE RD
BUTLER, PA 16001

Butler County (833) 906-0108

DR. JACOB ZACHARY DEBERRY M.D.

Internal Medicine

389 NEW CASTLE RD
BUTLER, PA 16001

Butler County (833) 906-0108

REX ROBERT BERRY PA-C

Physician Assistant (Medical)

389 NEW CASTLE RD
BUTLER, PA 16001

Butler County (833) 906-0108

ISTVAN HAJDUK MD

Internal Medicine (Pulmonary Disease)

389 NEW CASTLE RD
BUTLER, PA 16001

Butler County (724) 282-2216

HANNAH MARIE HETZEL CRNP

Nurse Practitioner (Family)

389 NEW CASTLE RD
BUTLER, PA 16001

Butler County (833) 906-0108

SARAH E MEYERS CRNP

Nurse Practitioner (Family)

389 NEW CASTLE RD
BUTLER, PA 16001

Butler County (724) 282-2216

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 Shripal Shrishrimal's NPI number?

The NPI number for Shripal Shrishrimal is 1316181571. It was assigned to this individual provider in the NPPES registry on April 30, 2009.

Where is Shripal Shrishrimal located?

Shripal Shrishrimal practices at 389 New Castle Rd, Butler, PA 16001. The listed phone number is (724) 282-2216.

What is Shripal Shrishrimal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Shripal Shrishrimal enrolled in Medicare?

Yes. Shripal Shrishrimal 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 organizations bill Medicare for Shripal Shrishrimal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shripal Shrishrimal reassigns Medicare benefits to 3 organizations: Butler Medical Providers (Butler, PA), Shri Pulmonary & Sleep Associates LLC (Butler, PA) and Excela Health Physician Practices, Inc. (Murrysville, PA). Each 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 Shripal Shrishrimal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shripal Shrishrimal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and CareSource list Shripal Shrishrimal 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 Shripal Shrishrimal affiliated with any hospitals?

According to CMS data, Shripal Shrishrimal is affiliated with Clarion Hospital, Magee Womens Hospital Of Upmc Health System, Excela Health Westmoreland Regional Hospital, Butler Memorial Hospital and Excela Health Latrobe Hospital.

When was this NPI record last updated?

The NPPES record for Shripal Shrishrimal was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.