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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: August 02, 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
Phone(567) 868-4507
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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.

Other Providers at the Same Location NPPES 5

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

DR. KAMRAN AMIR KHAN M.D.
Hospitalist
1050 M L KING DR, SUITE 109
CENTRALIA, IL 62801
Marion County (618) 532-0998
DR. RAJENDRA R SHROFF M.D.
Internal Medicine
1050 M L KING DR, SUITE 101
CENTRALIA, IL 62801
Marion County (618) 532-5700
MR. AZIZ U RAHMAN MD
Internal Medicine (Pulmonary Disease)
1050 M L KING DR, SUITE 109
CENTRALIA, IL 62801
Marion County (618) 532-0998
MRS. ELIZABETH FRANCZYK MD
Pediatrics
1050 M L KING DR, SUITE 102
CENTRALIA, IL 62801
Marion County (618) 532-6222
NAEEM A KHAN MD SC
Internal Medicine (Cardiovascular Disease)
1050 M L KING DR, SUITE 108
CENTRALIA, IL 62801
Marion County (618) 532-3517

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.

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 Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health 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.