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PRAKASH SHRESTHA MD
NPI 1346472206
Internal Medicine - Infectious Disease in Lubbock, TX

Active since August 11, 2009PECOS EnrolledAccepts Medicare Assignment
4102 24TH ST STE 403, LUBBOCK, TX 79410(806) 725-7150(806) 723-6136 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Sep 12, 2017 (2 updates tracked since 2017).

About Prakash Shrestha Md NPPES

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

PRAKASH SHRESTHA MD (NPI 1346472206) is an individual infectious disease provider in Lubbock, Texas, licensed in Texas (R0129) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Nor-lea Hospital District, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1346472206
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NamePRAKASH SHRESTHACredential: MD
Location Address4102 24TH ST STE 403Lubbock, TX 79410-1804
Mailing Address2215 Nashville AveLubbock, TX 79410-1105 · (806) 725-4800 · Fax (806) 723-6532
Phone(806) 725-7150
Fax(806) 723-6136
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 11, 2009
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1346472206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TX · R0129
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT194269 (PA)
4102 24TH ST STE 403, Lubbock, TX 79410
Open in Google Maps ↗

Other Identifiers 2

Other582318YKT8TX · Medicare
Other8GX844TX · Bcbx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Prakash 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.

PECOS PAC ID244483782
PECOS Enrollment IDI20170717001784
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 5

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.

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.
942 services176 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.
125 services120 patients
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.
91 services36 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.
43 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Nor-Lea Hospital District

Critical Access Hospitals · Lovington, NM
OwnershipGovernment - Hospital District or Authority
CMS Certification Number321305
Location1600 North Main AveLovington, NM 88260 · Lea County
Emergency services

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450040
Location3615 19th StreetLubbock, TX 79410 · Lubbock County
Emergency services

Covenant Childrens Hospital

Childrens · Lubbock, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453306
Location4015 22nd PlaceLubbock, TX 79410 · Lubbock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79410 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

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

DR. LAWRENCE P MARTINELLI M.D.
Internal Medicine (Infectious Disease)
4102 24TH ST STE 403
LUBBOCK, TX 79410
Lubbock County (806) 725-7150

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 Prakash Shrestha's NPI number?

The NPI number for Prakash Shrestha is 1346472206. It was assigned to this individual provider in the NPPES registry on August 11, 2009.

Where is Prakash Shrestha located?

Prakash Shrestha practices at 4102 24th St Ste 403, Lubbock, TX 79410. The listed phone number is (806) 725-7150.

What is Prakash Shrestha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Prakash Shrestha enrolled in Medicare?

Yes. Prakash 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.

What insurance does Prakash Shrestha accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Prakash Shrestha 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 Prakash Shrestha affiliated with any hospitals?

According to CMS data, Prakash Shrestha is affiliated with Nor-Lea Hospital District, Covenant Medical Center and Covenant Childrens Hospital.

When was this NPI record last updated?

The NPPES record for Prakash Shrestha was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.