Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANTOSH ADHIKARI SHARMA M.D.
NPI 1689036337
Radiology - Diagnostic Radiology in Mankato, MN

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment
74.96/100
CMS Quality Rating
1025 MARSH ST, MANKATO, MN 56001(507) 625-4031 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2026, Mar 24, 2026, Mar 13, 2026 and 2 more (5 updates tracked since 2016).

About Shantosh Adhikari Sharma M.d. NPPES

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

SHANTOSH ADHIKARI SHARMA M.D. (NPI 1689036337) is an individual diagnostic radiology provider in Mankato, Minnesota, licensed in Texas (48026) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Mankato, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1689036337
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSHANTOSH ADHIKARI SHARMACredential: M.D.
Location Address1025 MARSH STMankato, MN 56001-4752
Mailing AddressPo Box 650859, Dept 710Dallas, TX 75265-0859 · (409) 772-2222
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 22, 2016
Last NPPES UpdateJuly 21, 20265 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
NPI 1689036337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · 48026
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Diagnostic NeuroimagingTaxonomy 2085D0003X · License V4869 (TX)
1025 MARSH ST, Mankato, MN 56001

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

Shantosh Adhikari Sharma M.d. 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 ID6709179534
PECOS Enrollment IDI20230912001869, I20250923000141
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 15

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
554 services519 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
169 services168 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
144 services143 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
142 services140 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
82 services82 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
73 services70 patients

Hospital Affiliations CMS Care Compare 5

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

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240093
Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County
Emergency services Birthing friendly

Mayo Clinic Health System - Fairmont

Acute Care Hospitals · Fairmont, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240166
Location800 Medical Center DriveFairmont, MN 56031 · Martin County
Emergency services Birthing friendly

Mayo Clinic Health System St. James

Critical Access Hospitals · St James, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241333
Location1101 Moulton And Parsons DriveSt James, MN 56081 · Watonwan County
Emergency services

Mayo Clinic Health System - Waseca

Critical Access Hospitals · Waseca, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241345
Location501 North State StreetWaseca, MN 56093 · Waseca County
Emergency services

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

74.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.77
Promoting Interoperability94
Improvement Activities40
Cost47.75

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.

Nurse Practitioner
1025 MARSH ST
MANKATO, MN 56001
Anesthesiology
1025 MARSH ST
MANKATO, MN 56001
Nurse Practitioner (Family)
1025 MARSH ST
MANKATO, MN 56001
Neurological Surgery
1025 MARSH ST
MANKATO, MN 56001
Nurse Practitioner
1025 MARSH ST
MANKATO, MN 56001
Pharmacist
1025 MARSH ST
MANKATO, MN 56001
Nurse Anesthetist, Certified Registered
1025 MARSH ST
MANKATO, MN 56001
Internal Medicine (Interventional Cardiology)
1025 MARSH ST
MANKATO, MN 56001

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 Shantosh Adhikari Sharma's NPI number?

The NPI number for Shantosh Adhikari Sharma is 1689036337. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Shantosh Adhikari Sharma located?

Shantosh Adhikari Sharma practices at 1025 Marsh St, Mankato, MN 56001. The listed phone number is (507) 625-4031.

What is Shantosh Adhikari Sharma's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Shantosh Adhikari Sharma enrolled in Medicare?

Yes. Shantosh Adhikari Sharma 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 Shantosh Adhikari Sharma accept?

Health plans from Community Health Choice and Oscar Insurance Company list Shantosh Adhikari Sharma 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 Shantosh Adhikari Sharma affiliated with any hospitals?

According to CMS data, Shantosh Adhikari Sharma is affiliated with Mayo Clinic Health System - Mankato, Mayo Clinic Health System - Fairmont, Mayo Clinic Health System St. James, Mayo Clinic Health System - Waseca and University Of Texas Medical Branch Galveston.

When was this NPI record last updated?

The NPPES record for Shantosh Adhikari Sharma was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.