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DR. ALOK SHRESTHA D.O.
NPI 1629426663
Internal Medicine in Corpus Christi, TX

Active since June 01, 2016PECOS EnrolledAccepts Medicare Assignment
84.97/100
CMS Quality Rating
7101 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78412(361) 761-3280 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Alok Shrestha D.o. NPPES

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

DR. ALOK SHRESTHA D.O. (NPI 1629426663) is an individual internal medicine provider in Corpus Christi, Texas, licensed in Texas (BP10055388) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1629426663
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ALOK SHRESTHACredential: D.O.
Location Address7101 S PADRE ISLAND DRCorpus Christi, TX 78412-4913
Mailing Address7101 S Padre Island DrCorpus Christi, TX 78412-4913 · (361) 761-3280
Phone(361) 761-3280
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2016
Enumeration DateJune 1, 2016
✔ NPI 1629426663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · BP10055388
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7101 S PADRE ISLAND DR, Corpus Christi, TX 78412
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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

Dr. Alok Shrestha D.o. 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 ID6901289438
PECOS Enrollment IDI20220817000581
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 14

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
168 services62 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
81 services80 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.
79 services79 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.
75 services63 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.
66 services56 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
65 services64 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

University Mcduffie County Regional Medical Center

Acute Care Hospitals · Thomson, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110111
Location2460 Washington RoadThomson, GA 30824 · Mc Duffie County
Emergency services

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78412 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.

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.

84.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.19
Promoting Interoperability100
Improvement Activities40
Cost86.71

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.

ERIK SHARKEY GOMEZ FNP-C
Nurse Practitioner (Family)
7101 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78412
Nueces County (361) 549-2682
JORGE A GARZA MD
Internal Medicine
7101 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78412
Nueces County (361) 761-1000
DR. ERIC MATTHEW SASS D.O.
Internal Medicine
7101 S PADRE ISLAND DR, CCMC - GRADUATE MEDICAL EDUCATION OFFICE
CORPUS CHRISTI, TX 78412
Nueces County (361) 761-3280
DR. CALEB HAWS D.O.
Internal Medicine
7101 S PADRE ISLAND DR, GRADUATE MEDICAL EDUCATION DEPT.
CORPUS CHRISTI, TX 78412
Nueces County (361) 761-3540
DR. FACUNDO GASTON GONZALEZ MD
Emergency Medicine
7101 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78412
Nueces County (305) 316-4010
PRAISE OKOROJI OHABOR
Student in an Organized Health Care Education/Training Program
7101 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78412
Nueces County (361) 761-1000
OLIVIA LAHEY MD
Student in an Organized Health Care Education/Training Program
7101 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78412
Nueces County (361) 761-1000
BAY AREA HEALTHCARE GROUP, LTD.
General Acute Care Hospital
7101 S PADRE ISLAND DR
CORPUS CHRISTI, TX 78412
Nueces County (361) 761-1000

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 Alok Shrestha's NPI number?

The NPI number for Alok Shrestha is 1629426663. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Alok Shrestha located?

Alok Shrestha practices at 7101 S Padre Island Dr, Corpus Christi, TX 78412. The listed phone number is (361) 761-3280.

What is Alok Shrestha's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alok Shrestha enrolled in Medicare?

Yes. Alok 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 Alok Shrestha accept?

Health plans from BlueCross BlueShield of South Carolina list Alok 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 Alok Shrestha affiliated with any hospitals?

According to CMS data, Alok Shrestha is affiliated with Piedmont Augusta Hospital, University Mcduffie County Regional Medical Center and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Alok Shrestha was last updated on June 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.