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DR. AYUSH BHAKTA SHRESTHA MD
NPI 1629567425
Family Medicine in Crown Point, IN

Active since May 07, 2018PECOS EnrolledAccepts Medicare Assignment
254 E 127TH PL, CROWN POINT, IN 46307(859) 285-1065 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2025, Oct 3, 2024, Jul 19, 2024 and 5 more (8 updates tracked since 2018).

About Dr. Ayush Bhakta Shrestha Md NPPES

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

DR. AYUSH BHAKTA SHRESTHA MD (NPI 1629567425) is an individual family medicine provider in Crown Point, Indiana, licensed in Indiana (01097985A) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Community Hospital, and is a graduate of University Of Louisville School Of Medicine (2011).

NPPES Registry Identity

NPI1629567425
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. AYUSH BHAKTA SHRESTHACredential: MD
Location Address254 E 127TH PLCrown Point, IN 46307-7560
Mailing Address254 E 127th PlCrown Point, IN 46307-7560
Phone(859) 285-1065
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2011
Enumeration DateMay 7, 2018
Last NPPES UpdateDecember 12, 20258 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1629567425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IN · 01097985A✔ Licensed in MI · 4351044243✔ Licensed in TN · 71515✔ Licensed in MO · 2023024272
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 71515 (TN)
254 E 127TH PL, Crown Point, IN 46307
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, 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

Dr. Ayush Bhakta 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 ID6406180819
PECOS Enrollment IDI20241114003240, I20250927000263
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.

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.
82 services79 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
13 services12 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Ayush Shrestha's NPI number?

The NPI number for Ayush Shrestha is 1629567425. It was assigned to this individual provider in the NPPES registry on May 7, 2018.

Where is Ayush Shrestha located?

Ayush Shrestha practices at 254 E 127th Pl, Crown Point, IN 46307. The listed phone number is (859) 285-1065.

What is Ayush Shrestha's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ayush Shrestha enrolled in Medicare?

Yes. Ayush 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 Ayush Shrestha accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Ayush 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 Ayush Shrestha affiliated with any hospitals?

According to CMS data, Ayush Shrestha is affiliated with Community Hospital.

When was this NPI record last updated?

The NPPES record for Ayush Shrestha was last updated on December 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.