SUSHMITA DUWAL SHRESTHA M.B.B.S
NPI 1326573221
Internal Medicine - Pulmonary Disease in Temple, TX

Q: What is Sushmita Shrestha's NPI number?

The NPI number for Sushmita Shrestha is 1326573221. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Q: What is Sushmita Shrestha's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sushmita Shrestha was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 27, 2017PECOS EnrolledAccepts Medicare Assignment

2401 S 31ST ST, TEMPLE, TX 76508(254) 724-2111(254) 724-7603 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 21, 2026, Apr 5, 2024, Mar 20, 2018 and 1 more (4 updates tracked since 2017).

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About Sushmita Duwal Shrestha M.b.b.s NPPES

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

SUSHMITA DUWAL SHRESTHA M.B.B.S (NPI 1326573221) is an individual pulmonary disease provider in Temple, Texas, licensed in Texas (W0996) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1326573221

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameSUSHMITA DUWAL SHRESTHACredential: M.B.B.S

Location Address2401 S 31ST STTemple, TX 76508-0001

Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111

Phone(254) 724-2111

Fax(254) 724-7603

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 27, 2017

Last NPPES UpdateJanuary 21, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2026

✔ NPI 1326573221 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 TX · W0996

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.

2401 S 31ST ST, Temple, TX 76508

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1420 S 5th AveWest Reading, PA 19611-2143 · Phone (484) 628-6255

Location 224 Hospital AveDanbury, CT 06810-6099 · Phone (203) 739-8105

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Sushmita Duwal Shrestha M.b.b.s 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 ID3072884485

PECOS Enrollment IDI20251015002046

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 Sushmita Shrestha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Scott & White Clinic

Same address

Internal Medicine

2401 S 31ST ST
Temple, TX 76508

Reassigned Medicare billing, Texas enrollment
2,795 clinicians in this Medicare group

NPI 1093779704 (254) 724-2111

Tower Health Medical Group

1,356 mi

Sports Medicine

1350 BROADCASTING RD STE 201
Wyomissing, PA 19610

Reassigned Medicare billing, Pennsylvania enrollment
1,473 clinicians in this Medicare group

NPI 1891036166 (610) 685-9600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

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

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450054

Location2401 S 31st StTemple, TX 76508 · Bell County

Emergency services Birthing friendly

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670034

Location300 University BlvdRound Rock, TX 78664 · Williamson County

Emergency services Birthing friendly

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670108

Location810 W Highway 71Marble Falls, TX 78654 · Burnet County

Emergency services Birthing friendly

Baylor Scott & White Medical Center Pflugerville

Acute Care Hospitals · Pflugerville, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number670128

Location2600 East Pflugerville ParkwayPflugerville, TX 78660 · Travis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76508 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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. TIFFANY JONES BERRY MD

Family Medicine