SANJEEV SHRESTHA
NPI 1528620085
Hospitalist in Danville, PA

Active since July 05, 2019PECOS EnrolledAccepts Medicare Assignment
100 N ACADEMY AVE, DANVILLE, PA 17822(570) 271-6211 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 12, 2023, Sep 16, 2022, Jul 5, 2019 (3 updates tracked since 2019).

About Sanjeev Shrestha NPPES

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

SANJEEV SHRESTHA (NPI 1528620085) is an individual hospitalist provider in Danville, Pennsylvania, licensed in Pennsylvania (MD477808) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Geisinger-bloomsburg Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1528620085
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSANJEEV SHRESTHA
Location Address100 N ACADEMY AVEDanville, PA 17822
Mailing Address100 N Academy AveDanville, PA 17822 · (570) 271-6211
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 5, 2019
Last NPPES UpdateApril 12, 20233 updates tracked since enumeration
NPPES CertifiedApril 12, 2023
NPI 1528620085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in PA · MD477808
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

100 N ACADEMY AVE, Danville, PA 17822

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

Sanjeev Shrestha 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 ID1951777689
PECOS Enrollment IDI20221020000270
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 4

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 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.
136 services71 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.
131 services67 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
71 services71 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.
40 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Geisinger-Bloomsburg Hospital

Acute Care Hospitals · Bloomsburg, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390003
Location549 East Fair StreetBloomsburg, PA 17815 · Columbia County
Emergency services Birthing friendly

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17822 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.

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.

Long Term Care Hospital
100 N ACADEMY AVE, BUSH PAVILION 3, MAIL STOP 4210
DANVILLE, PA 17822
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE, GMC ANESTHESIOLOGY
DANVILLE, PA 17822
Internal Medicine (Nephrology)
100 N ACADEMY AVE
DANVILLE, PA 17822
Pharmacist (Pharmacotherapy)
100 N ACADEMY AVE
DANVILLE, PA 17822
Pharmacist (Pharmacotherapy)
100 N ACADEMY AVE, SYSTEM THERAPEUTICS
DANVILLE, PA 17822
Pharmacist
100 N ACADEMY AVE
DANVILLE, PA 17822
Pediatrics (Pediatric Gastroenterology)
100 N ACADEMY AVE
DANVILLE, PA 17822
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822

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 Sanjeev Shrestha's NPI number?

The NPI number for Sanjeev Shrestha is 1528620085. It was assigned to this individual provider in the NPPES registry on July 5, 2019.

Where is Sanjeev Shrestha located?

Sanjeev Shrestha practices at 100 N Academy Ave, Danville, PA 17822. The listed phone number is (570) 271-6211.

What is Sanjeev Shrestha's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sanjeev Shrestha enrolled in Medicare?

Yes. Sanjeev 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 Sanjeev Shrestha accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sanjeev 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 Sanjeev Shrestha affiliated with any hospitals?

According to CMS data, Sanjeev Shrestha is affiliated with Geisinger-Bloomsburg Hospital and Geisinger Medical Center.

When was this NPI record last updated?

The NPPES record for Sanjeev Shrestha was last updated on April 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.