DR. SANJIVANI SHRESTHA MD
NPI 1639721657
Internal Medicine - Nephrology in Lancaster, PA

Active since July 10, 2019PECOS EnrolledAccepts Medicare Assignment
2110 HARRISBURG PIKE STE 310, LANCASTER, PA 17601(717) 544-3232 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2024, Jul 10, 2019 (2 updates tracked since 2019).

About Dr. Sanjivani Shrestha Md NPPES

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

DR. SANJIVANI SHRESTHA MD (NPI 1639721657) is an individual nephrology provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD484039) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1639721657
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SANJIVANI SHRESTHACredential: MD
Location Address2110 HARRISBURG PIKE STE 310Lancaster, PA 17601-2644
Mailing Address2110 Harrisburg Pike Ste 310Lancaster, PA 17601-2644 · (717) 544-3232 · Fax (717) 544-3233
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 10, 2019
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
NPI 1639721657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in PA · MD484039
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2110 HARRISBURG PIKE STE 310, Lancaster, PA 17601

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

Dr. Sanjivani 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 ID8820479546
PECOS Enrollment IDI20240523003239
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 8

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.
173 services88 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.
85 services85 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.
76 services76 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.
53 services13 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.
50 services45 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.
34 services34 patients

Hospital Affiliations CMS Care Compare 3

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17601 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 12

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

Internal Medicine (Nephrology)
2110 HARRISBURG PIKE STE 310
LANCASTER, PA 17601
Nurse Practitioner
2110 HARRISBURG PIKE STE 310
LANCASTER, PA 17601
Nurse Practitioner (Adult Health)
2110 HARRISBURG PIKE STE 310
LANCASTER, PA 17601
Nurse Practitioner
2110 HARRISBURG PIKE STE 310
LANCASTER, PA 17601
Nurse Practitioner
2110 HARRISBURG PIKE STE 310
LANCASTER, PA 17601
Nurse Practitioner (Family)
2110 HARRISBURG PIKE STE 310
LANCASTER, PA 17601
Nurse Practitioner (Family)
2110 HARRISBURG PIKE STE 310
LANCASTER, PA 17601
Nurse Practitioner
2110 HARRISBURG PIKE STE 310
LANCASTER, PA 17601

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 Sanjivani Shrestha's NPI number?

The NPI number for Sanjivani Shrestha is 1639721657. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Sanjivani Shrestha located?

Sanjivani Shrestha practices at 2110 Harrisburg Pike Ste 310, Lancaster, PA 17601. The listed phone number is (717) 544-3232.

What is Sanjivani Shrestha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sanjivani Shrestha enrolled in Medicare?

Yes. Sanjivani 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 Sanjivani Shrestha accept?

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

According to CMS data, Sanjivani Shrestha is affiliated with Lancaster General Hospital, Wellspan Ephrata Community Hospital and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Sanjivani Shrestha was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.