PRABHAT SHRESTHA MD
NPI 1629573365
Hospitalist in Eureka, CA

Q: What is Prabhat Shrestha's NPI number?

The NPI number for Prabhat Shrestha is 1629573365. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Q: What is Prabhat Shrestha's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Prabhat Shrestha was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 26, 2018PECOS EnrolledAccepts Medicare Assignment

2700 DOLBEER ST, EUREKA, CA 95501(707) 269-4253 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2021, Mar 26, 2018 (2 updates tracked since 2018).

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About Prabhat Shrestha Md NPPES

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

PRABHAT SHRESTHA MD (NPI 1629573365) is an individual hospitalist provider in Eureka, California, licensed in California (A173732) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Centralia, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1629573365

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NamePRABHAT SHRESTHACredential: MD

Location Address2700 DOLBEER STEureka, CA 95501-4736

Mailing Address2700 Dolbeer StEureka, CA 95501-4736 · (707) 269-4253

Phone(707) 269-4253

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 26, 2018

Last NPPES UpdateSeptember 29, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2021

✔ NPI 1629573365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in CA · A173732

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2700 DOLBEER ST, Eureka, CA 95501

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Secondary Practice Location 1

Location 1605 Sable driveCentralia, IL 62801 · Phone (707) 921-8235

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

Prabhat 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 ID9638413909

PECOS Enrollment IDI20211006001918

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 Reassignments

Medicare enrollment records show Prabhat Shrestha reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Galen Inpatient Physicians PC

92 mi

Internal Medicine

2801 EUREKA WAY
Redding, CA 96001

Reassigned Medicare billing, California enrollment
962 clinicians in this Medicare group

NPI 1649141532 (530) 246-9000

Farallon Inpatient Medical Group Inc

133 mi

Emergency Medicine

5176 HILL RD E
Lakeport, CA 95453

Reassigned Medicare billing, California enrollment
40 clinicians in this Medicare group

NPI 1417441080 (707) 262-5000

Permanente Medical Group Inc

209 mi

Internal Medicine

975 SERENO DRIVE
Vallejo, CA 94589

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1336222397 (707) 651-1000

Marin Hospitalist Medical Group, Inc.

214 mi

Internal Medicine

250 BON AIR RD, 3RD FLOOR
Greenbrae, CA 94904

Reassigned Medicare billing, California enrollment
82 clinicians in this Medicare group

NPI 1023041753 (415) 925-7545

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 6

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 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.

237 services81 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.

209 services201 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.

162 services155 patients

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.

50 services15 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.

43 services42 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95501 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

MELISSA CHRISTINE LONG PA-C

Physician Assistant (Surgical)