DR. ADARSHA SHRESTHA M.D.
NPI 1548426398
Specialist in Stuart, FL

Q: What is Adarsha Shrestha's NPI number?

The NPI number for Adarsha Shrestha is 1548426398. It was assigned to this individual provider in the NPPES registry on July 31, 2008.

Q: What is Adarsha Shrestha's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Adarsha Shrestha was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 31, 2008PECOS EnrolledAccepts Medicare Assignment

89.89/100

CMS Quality Rating

500 SE OSCEOLA ST, STE 200, STUART, FL 34994(772) 286-1550(772) 221-0569 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Adarsha Shrestha M.d. NPPES

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

DR. ADARSHA SHRESTHA M.D. (NPI 1548426398) is an individual specialist in Stuart, Florida, licensed in Florida (ME117511) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1548426398

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. ADARSHA SHRESTHACredential: M.D.

Location Address500 SE OSCEOLA ST, STE 200Stuart, FL 34994-2364

Mailing AddressPo Box 417Stuart, FL 34995-0417 · (772) 223-5665 · Fax (772) 223-5646

Phone(772) 286-1550

Fax(772) 221-0569

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJuly 31, 2008

Last NPPES UpdateOctober 13, 2020

NPPES CertifiedOctober 13, 2020

✔ NPI 1548426398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME117511

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2006011979 (MO)

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 12105 (ND)

500 SE OSCEOLA ST, Stuart, FL 34994

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Dr. Adarsha Shrestha 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 ID6204974710

PECOS Enrollment IDI20131203000291

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 Reassignment

Medicare enrollment records show Adarsha Shrestha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Martin Memorial Medical Center Inc

0.2 mi

General Acute Care Hospital

200 SE HOSPITAL AVE
Stuart, FL 34994

Reassigned Medicare billing, Florida enrollment
602 clinicians in this Medicare group

NPI 1194790055 (772) 287-5200

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

Areas of Expertise CMS Part B claims 13

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.

480 services185 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.

458 services263 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.

167 services140 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

155 services107 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

124 services113 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

104 services70 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.

82 services60 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

79 services49 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

23 services17 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

19 services19 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.

17 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100044

Location200 SE Hospital AveStuart, FL 34994 · Martin County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.75

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers13 claims2,100 services$0.30 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers15 claims2,580 services$0.19 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

5 suppliers12 claims12 services$18.85 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

4 suppliers21 claims22 services$12.60 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 7

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

GAURAV R SHAH MD

Internal Medicine (Nephrology)

500 SE OSCEOLA ST, STE 200
STUART, FL 34994

Martin County (772) 286-1550

DR. RESHAM KHILNANI M.D.

Internal Medicine (Nephrology)

500 SE OSCEOLA ST, STE 200
STUART, FL 34994

Martin County (772) 286-1550

DR. JEFFREY L GLICKMAN M.D.

Internal Medicine (Nephrology)

500 SE OSCEOLA ST, STE 200
STUART, FL 34994

Martin County (772) 286-1550

HARVEY B ULANO M.D.

Specialist

500 SE OSCEOLA ST, SUITE 200
STUART, FL 34994

Martin County (772) 286-1555

DR. JEAN AUKERMAN VICKERS M.D.

Internal Medicine (Nephrology)

500 SE OSCEOLA ST, STE 200
STUART, FL 34994

Martin County (772) 286-1550

DIANE HUBERTZ HAUGE ARNP

Nurse Practitioner

500 SE OSCEOLA ST, SUITE 100
STUART, FL 34994

Martin County (772) 286-1550

NEPHROLOGY & INTERNAL MEDICINE ASSOCIATES

Specialist

500 SE OSCEOLA ST
STUART, FL 34994

Martin County (772) 286-1555

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 Adarsha Shrestha's NPI number?

The NPI number for Adarsha Shrestha is 1548426398. It was assigned to this individual provider in the NPPES registry on July 31, 2008.

Where is Adarsha Shrestha located?

Adarsha Shrestha practices at 500 SE Osceola St Ste 200, Stuart, FL 34994. The listed phone number is (772) 286-1550.

What is Adarsha Shrestha's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Adarsha Shrestha enrolled in Medicare?

Yes. Adarsha 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.

Which organization bills Medicare for Adarsha Shrestha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adarsha Shrestha reassigns Medicare benefits to Martin Memorial Medical Center Inc (Stuart, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adarsha Shrestha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adarsha Shrestha accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Cigna HealthCare of Florida, Inc. and 4 other insurers list Adarsha 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 Adarsha Shrestha affiliated with any hospitals?

According to CMS data, Adarsha Shrestha is affiliated with Cleveland Clinic Martin North Hospital.

When was this NPI record last updated?

The NPPES record for Adarsha Shrestha was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.