DR SHRESTHA MD SC
NPI 1699045740
Clinic/Center in Centralia, IL

Active since January 06, 2012CLIA 14D2037211 · Waiver
1050 M L KING DR, SUITE 111, CENTRALIA, IL 62801(567) 868-4507(877) 397-7287 Get Directions Write a Review

NPPES record last updated: January 6, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr Shrestha Md Sc NPPES

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

DR SHRESTHA MD SC (NPI 1699045740) is a healthcare organization registered as a clinic/center in Centralia, Illinois and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through February 21, 2028 and lists Niranjan Shrestha, President, as its authorized official.

NPPES Registry Identity

NPI1699045740
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDR SHRESTHA MD SC
Location Address1050 M L KING DR, SUITE 111Centralia, IL 62801-3060
Mailing Address605 Sable DrCentralia, IL 62801-4472 · (567) 868-4507 · Fax (877) 395-7287
Fax(877) 397-7287
Organization SubpartNo
Authorized OfficialNiranjan ShresthaPresident · (567) 868-4507
Enumeration DateJanuary 6, 2012
✔ NPI 1699045740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1050 M L KING DR, Centralia, IL 62801

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Shrestha Md Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Shrestha MD Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1508031758
1050 M L KING DR STE 111
Centralia, IL 62801
(618) 436-5237
✔ PECOS✔ Accepts Medicare0.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2037211

Dr Shrestha MD Sc · Centralia, IL
Active · expires Feb 21, 2028
CLIA Number14D2037211
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2026
Certificate Expiration DateFebruary 21, 2028
Laboratory DirectorNiranjan Shrestha MD
Laboratory Phone(618) 545-9785
Laboratory LocationDr Shrestha MD Sc1050 M L King Dr Ste 111, Centralia, IL 62801
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Dr Shrestha MD Sc's NPI number?

The NPI number for Dr Shrestha MD Sc is 1699045740. It was assigned to this organization in the NPPES registry on January 6, 2012.

Where is Dr Shrestha MD Sc located?

Dr Shrestha MD Sc is located at 1050 M L King Dr Suite 111, Centralia, IL 62801. The listed phone number is (567) 868-4507.

What is Dr Shrestha MD Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Dr Shrestha MD Sc enrolled in Medicare?

Yes. Dr Shrestha MD Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Shrestha MD Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dr Shrestha MD Sc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dr Shrestha MD Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2037211) is associated with this NPI, valid through February 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dr Shrestha MD Sc accept?

Health plans from Medica list Dr Shrestha MD Sc 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.

When was this NPI record last updated?

The NPPES record for Dr Shrestha MD Sc was last updated on January 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.