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

Q: 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.

Q: What is Shantosh Adhikari Sharma's specialty?

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

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: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 21, 2026, Jul 21, 2026, Mar 24, 2026 and 3 more (6 updates tracked since 2016).

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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 (V4869) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Mankato, and maintains a secondary practice location in Galveston.

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

Phone(507) 625-4031

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 22, 2016

Last NPPES UpdateSeptember 21, 20266 updates tracked since enumeration

NPPES CertifiedSeptember 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 · V4869

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

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Secondary Practice Location 1

Location 1301 University BlvdGalveston, TX 77555-5302 · Phone (409) 772-7150 · Fax (409) 747-2850

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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

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

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 Shantosh Adhikari Sharma reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Health System-Southwest Minnesota Region

Same address

Multi-Specialty

1025 MARSH ST
Mankato, MN 56001

Reassigned Medicare billing, Minnesota enrollment
1,572 clinicians in this Medicare group

NPI 1578545422 (507) 625-4031

Mayo Clinic Health System-St James

33 mi

Multi-Specialty

1101 MOULTON AND PARSONS DR
Saint James, MN 56081

Reassigned Medicare billing, Minnesota enrollment
592 clinicians in this Medicare group

NPI 1023177730 (507) 375-3261

Mayo Clinic Health System-Fairmont

43 mi

Multi-Specialty

800 MEDICAL CENTER DR
Fairmont, MN 56031

Reassigned Medicare billing, Minnesota enrollment
806 clinicians in this Medicare group

NPI 1366410862 (507) 238-8100

Utmb Faculty Group Practice

1,025 mi

General Practice

301 UNIVERSITY BLVD
Galveston, TX 77555

Reassigned Medicare billing, Texas enrollment
2,222 clinicians in this Medicare group

NPI 1942241146 (409) 772-2222

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 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

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

63 services62 patients

Ct scan of middle spine without contrast 72128

A CT scan of the middle spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed pictures of your mid-spine area. This scan helps doctors identify issues like fractures, tumors, or infections. No dye is used in this procedure.

39 services39 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

37 services37 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

32 services32 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

21 services21 patients

Computed tomography (ct) of brain blood flow, volume, and timing of flow analysis with contrast 0042T

A computed tomography (CT) of brain blood flow, volume, and timing of flow analysis with contrast is a non-invasive exam. It uses X-rays and a contrast material to create detailed images of your brain. It helps evaluate blood flow patterns and detect abnormalities like clots or blockages.

19 services18 patients

Ct scan of soft tissue of neck with contrast 70491

A CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.

15 services15 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

15 services15 patients

Mri scan of middle spinal canal without contrast 72146

An MRI scan of the middle spinal canal without contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. This helps doctors identify any abnormalities or issues in your spinal canal. No dye is used in this procedure.

11 services11 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

Quality

73.77

Promoting Interoperability

Improvement Activities

Cost

47.75

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.

KRISTIN MARIE CLIFFORD CNP

Nurse Practitioner