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DR. AMARDEEP SHRESTHA M.D.
NPI 1730490525
Internal Medicine in O Fallon, IL

Active since June 25, 2010PECOS EnrolledAccepts Medicare Assignment
1480 N GREEN MOUNT RD, STE 200, O FALLON, IL 62269(618) 622-3450(618) 622-3468 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 12, 2022, Nov 18, 2021, Apr 17, 2019 (3 updates tracked since 2019).

About Dr. Amardeep Shrestha M.d. NPPES

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

DR. AMARDEEP SHRESTHA M.D. (NPI 1730490525) is an individual internal medicine provider in O Fallon, Illinois, licensed in Illinois (036.132849) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1730490525
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. AMARDEEP SHRESTHACredential: M.D.
Location Address1480 N GREEN MOUNT RD, STE 200O Fallon, IL 62269-3466
Mailing Address1480 N Green Mount Rd, Ste 200O Fallon, IL 62269-3466 · (217) 544-6464 · Fax (217) 757-6805
Phone(618) 622-3450
Fax(618) 622-3468
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 25, 2010
Last NPPES UpdateJanuary 12, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2022
✔ NPI 1730490525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036.132849✔ Licensed in IL · 125.058380
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 036.132849 (IL)
1480 N GREEN MOUNT RD, O Fallon, IL 62269
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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 ›

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

Dr. Amardeep Shrestha 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 ID2668611575
PECOS Enrollment IDI20130625000208, I20220225000612
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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
468 services176 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
228 services109 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
129 services124 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
111 services63 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
93 services42 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
57 services34 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Carlinville Area Hospital

Critical Access Hospitals · Carlinville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141347
Location20733 N Broad StreetCarlinville, IL 62626 · Macoupin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers40 claims122 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers12 claims16 services$0.92 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each A5056
DME-Orthotic Devices · category DF010N
1 supplier11 claims260 services$3.98 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers14 claims1,846 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers21 claims23 services$196.64 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers13 claims13 services$24.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CHIRO-MED II, LTD
Chiropractor
1480 N GREEN MOUNT RD
O FALLON, IL 62269
St. Clair County (618) 622-2222
DR. JOEL LEE RAHN D.C
Chiropractor
1480 N GREEN MOUNT RD
O FALLON, IL 62269
St. Clair County (618) 622-2222
DR. JEREMY BOOK D.C.
Chiropractor
1480 N GREEN MOUNT RD
O FALLON, IL 62269
St. Clair County (618) 622-2222
HEARING CARE CENTERS OF SOUTHERN ILLINOIS
Hearing Aid Equipment
1480 N GREEN MOUNT RD, STE 200
O FALLON, IL 62269
St. Clair County (618) 960-4763
HEARING HEALTH CARE CENTERS INC
Hearing Aid Equipment
1480 N GREEN MOUNT RD, SUITE 200
O FALLON, IL 62269
St. Clair County (618) 960-4763

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 Amardeep Shrestha's NPI number?

The NPI number for Amardeep Shrestha is 1730490525. It was assigned to this individual provider in the NPPES registry on June 25, 2010.

Where is Amardeep Shrestha located?

Amardeep Shrestha practices at 1480 N Green Mount Rd Ste 200, O Fallon, IL 62269. The listed phone number is (618) 622-3450.

What is Amardeep Shrestha's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Amardeep Shrestha enrolled in Medicare?

Yes. Amardeep 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.

What insurance does Amardeep Shrestha accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Amardeep 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 Amardeep Shrestha affiliated with any hospitals?

According to CMS data, Amardeep Shrestha is affiliated with Memorial Hospital, Hshs St Elizabeth's Hospital, Anderson Hospital and Carlinville Area Hospital.

When was this NPI record last updated?

The NPPES record for Amardeep Shrestha was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.