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

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: August 09, 2026.

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

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
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

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

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

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.

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

Hospital Affiliations CMS Care Compare 4

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

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
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 14

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

Nurse Practitioner
389 NEW CASTLE RD
BUTLER, PA 16001
Physician Assistant (Medical)
389 NEW CASTLE RD
BUTLER, PA 16001
Internal Medicine (Pulmonary Disease)
389 NEW CASTLE RD
BUTLER, PA 16001
Physician Assistant (Medical)
389 NEW CASTLE RD
BUTLER, PA 16001
Internal Medicine (Pulmonary Disease)
389 NEW CASTLE RD
BUTLER, PA 16001
Nurse Practitioner (Family)
389 NEW CASTLE RD
BUTLER, PA 16001
Nurse Practitioner (Family)
389 NEW CASTLE RD
BUTLER, PA 16001
Nurse Practitioner (Family)
389 NEW CASTLE RD
BUTLER, PA 16001

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.

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, 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 10 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.