SEPIYA SHRESTHA
Accepted Insurance for NPI 1437844321
Hospitalist in Youngstown, OH

Active since April 07, 2023PECOS Enrolled

1044 BELMONT AVE, YOUNGSTOWN, OH 44504(330) 480-7320(330) 729-1591 Get Directions

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2026, Aug 5, 2025, Jul 12, 2025 and 2 more (5 updates tracked since 2023).

Does Sepiya Shrestha take my insurance?

Anthem Blue Cross and Blue Shield includes Sepiya Shrestha in 12 Ohio plans sold on HealthCare.gov for 2027. The same insurer also lists Sepiya Shrestha in Wisconsin.

InsurerAnthem Blue Cross and Blue Shield 12 plans

Also listed inWisconsin

Call before you book: insurer directories can be out of date, so call the office at (330) 480-7320 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

Ohio plans 12 plans

Plans sold to Ohio residents. Costs are for the standard version of each plan.

Anthem Blue Cross and Blue Shield

12 plans · HMO

Accepting new patients

Pathway X HMO, and Rx Choice Tiered Network · 7 plans · Participating tier

Anthem Silver Pathway 4000 ($0 Select Drugs + Incentives)HMOSilver$4,00029276OH0970005

Anthem Heart Healthy Silver Pathway 5000 ($0 Select Drugs + Incentives)HMOSilver$5,00029276OH0970006

Anthem Silver Pathway 5200 HSA (+ Incentives)HMOSilver$5,20029276OH0970004

Anthem Heart Healthy Bronze Pathway 6000 HSA ($0 Select Drugs + Incentives)HMOExpanded Bronze$6,00029276OH0970002

Anthem Bronze Pathway 9000 HSA ($0 Select Drugs + Incentives)HMOExpanded Bronze$9,00029276OH0970012

Anthem Bronze Pathway 11700 HSA ($0 Select Drugs + Incentives)HMOExpanded Bronze$11,70029276OH0970001

Anthem Catastrophic Pathway HSA (+ Incentives)HMOCatastrophic$12,00029276OH0970003

Pathway X HMO and Pharmacy Base Network · 3 plans · Participating tier

Anthem Gold Pathway 2500 Standard ($0 Select Drugs + Incentives)HMOGold$2,50029276OH0970009

Anthem Silver Pathway 6400 Standard ($0 Select Drugs + Incentives)HMOSilver$6,40029276OH0970008

Anthem Bronze Pathway 7500 HSA Standard ($0 Select Drugs + Incentives)HMOExpanded Bronze$7,50029276OH0970007

Pathway X HMO, Dental Prime, and Rx Choice Tiered Network · 2 plans · Participating tier

Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Select Drugs + Incentives)HMOSilver$4,00029276OH0970011

Anthem Bronze Pathway 11700 HSA Adult Dental/Vision ($0 Select Drugs + Incentives)HMOExpanded Bronze$11,70029276OH0970010

Also listed in other states 8 plans · 1 state

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

Anthem Blue Cross and Blue Shield · Wisconsin

8 plans · HMO

Accepting new patientsDeductible $0 to $8,000

Blue Preferred and Rx Choice Tiered Network · 5 plans · Participating tier

Anthem Silver Preferred 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)HMOSilver$4,00079475WI0550104

Anthem Silver Preferred 5500 ($0 Select Drugs + Incentives)HMOSilver$5,50079475WI0550102

Anthem Heart Healthy Bronze Preferred 0 Med Ded HSA ($0 Select Drugs + Incentives)HMOExpanded Bronze$079475WI0550101

Anthem Bronze Preferred 5000 HSA (3 Free PCP Visits + $0 Select Drugs + Incentives)HMOExpanded Bronze$5,00079475WI0550103

Anthem Bronze Preferred 8000 HSA ($0 Select Drugs + Incentives)HMOExpanded Bronze$8,00079475WI0550106

Blue Preferred and Pharmacy Base Network · 3 plans · Participating tier

Anthem Gold Preferred 2500 Standard ($0 Select Drugs + Incentives)HMOGold$2,50079475WI0550107

Anthem Silver Preferred 6400 Standard ($0 Select Drugs + Incentives)HMOSilver$6,40079475WI0550108

Anthem Bronze Preferred 7500 HSA Standard ($0 Select Drugs + Incentives)HMOExpanded Bronze$7,50079475WI0550105

Questions about Sepiya Shrestha’s insurance

Does Sepiya Shrestha take Anthem Blue Cross and Blue Shield?

For Ohio Marketplace plans, yes: Anthem Blue Cross and Blue Shield includes Sepiya Shrestha in 12 plans for 2027. Call the office at (330) 480-7320 to confirm your plan before booking.

Is Sepiya Shrestha accepting new patients?

The insurers that list Sepiya Shrestha report that Sepiya Shrestha is accepting new patients. Call the office at (330) 480-7320 to confirm your plan before booking.

Do I need a referral to see Sepiya Shrestha?

Not under the Ohio plans that list Sepiya Shrestha: the 2027 plan files say a specialist referral is not required.

Does Sepiya Shrestha accept Medicare?

CMS files show a PECOS enrollment but no Medicare assignment indicator. Ask the office.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

Source	What it provides here	Source date
Insurer provider directory files	Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.	Anthem Blue Cross and Blue Shield: Nov 5, 2026
CMS Health Insurance Exchange public use files	Plan details and Summary of Benefits links for HealthCare.gov states.	Plan year 2027, Oct 20, 2026

Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
Networks change during the year. Confirm with your insurer or the practice before booking.