DR. SANJIVANI SHRESTHA MD
NPI 1639721657
Internal Medicine - Nephrology in Lancaster, PA
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 Mercy Medical Center Inc, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sanjivani Shrestha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lancaster, PA 17604
- Reassigned Medicare billing, Pennsylvania enrollment
- 22 clinicians in this Medicare group
Baltimore, MD 21227
- Reassigned Medicare billing, Maryland enrollment
- 62 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Medical Center Inc
Acute Care Hospitals · Baltimore, MDUniversity Of MD Baltimore Washington Medical Center
Acute Care Hospitals · Glen Burnie, MDLancaster General Hospital
Acute Care Hospitals · Lancaster, PAWellspan Ephrata Community Hospital
Acute Care Hospitals · Ephrata, PAPenn State Health Lancaster Medical Center
Acute Care Hospitals · Lancaster, PAPhysician 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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LANCASTER, PA 17601
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.
Which organizations bill Medicare for Sanjivani Shrestha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sanjivani Shrestha reassigns Medicare benefits to 2 organizations: Nephrology Associates Of Lancaster Ltd (Lancaster, PA) and Mid-Atlantic Nephrology Associates PA (Baltimore, MD). Each 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 Sanjivani Shrestha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 Mercy Medical Center Inc, University Of MD Baltimore Washington Medical Center, 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.
# Dr. Sanjivani Shrestha, MD · NPI 1639721657
Nephrology physician in Lancaster, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 10, 2019.
## Identity
- **NPI:** 1639721657 (Entity type: Individual)
- **Enumerated:** July 10, 2019
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** MD484039 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2110 HARRISBURG PIKE STE 310, Lancaster, PA 17601-2644
- **Phone:** (717) 544-3232
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Nephrology Associates Of Lancaster Ltd (NPI 1689604704, Lancaster, PA); Mid-Atlantic Nephrology Associates PA (NPI 1356390108, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 9, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1639721657) · Data from the CMS NPPES public registry.