SHISIR SHRESTHA MD
NPI 1770043804
Internal Medicine in Reno, NV

Q: What is Shisir Shrestha's NPI number?

The NPI number for Shisir Shrestha is 1770043804. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Q: What is Shisir Shrestha's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shisir Shrestha was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since March 24, 2019PECOS EnrolledAccepts Medicare Assignment

91.59/100

CMS Quality Rating

235 W 6TH ST, RENO, NV 89503(775) 770-6490(775) 770-3944 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2025, Jun 16, 2024, Jul 26, 2022 and 2 more (5 updates tracked since 2019).

On this page

About Shisir Shrestha Md NPPES

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

SHISIR SHRESTHA MD (NPI 1770043804) is an individual internal medicine provider in Reno, Nevada, licensed in Nevada (22369) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Saint Mary's Regional Medical Center, and maintains a secondary practice location in Fairfield.

NPPES Registry Identity

NPI1770043804

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSHISIR SHRESTHACredential: MD

Location Address235 W 6TH STReno, NV 89503-4548

Mailing AddressPo Box 1600Carson City, NV 89702-1600 · (775) 770-6490

Phone(775) 770-6490

Fax(775) 770-3944

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 24, 2019

Last NPPES UpdateOctober 7, 20255 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1770043804 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 NV · 22369✔ Licensed in CA · A198394

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 22369 (NV)

235 W 6TH ST, Reno, NV 89503

Open in Google Maps ↗

Secondary Practice Location 1

Location 11200 B Gale Wilson BlvdFairfield, CA 94533-3552 · Phone (707) 646-5800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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

Shisir Shrestha Md 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 ID9335523703

PECOS Enrollment IDI20220902001005, I20250130002910

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 Shisir Shrestha reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jose A Aguirre MD PC Silver State

Same address

Hospitalist

235 W 6TH ST
Reno, NV 89503

Reassigned Medicare billing, Nevada enrollment
27 clinicians in this Medicare group

NPI 1427775592No phone listed

Saint Marys Medical Group Inc.

0.1 mi

Primary Care

411 W 6TH ST
Reno, NV 89503

Reassigned Medicare billing, Nevada enrollment
58 clinicians in this Medicare group

NPI 1538424239 (775) 770-7600

Northbay Healthcare Group

141 mi

General Acute Care Hospital

1000 NUT TREE RD
Vacaville, CA 95687

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Northbay Physicians Surgery Center, LLC
516 clinicians in this Medicare group

NPI 1255483202 (707) 646-3401

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 4

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.

226 services98 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

82 services81 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.

72 services70 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Saint Mary's Regional Medical Center

Acute Care Hospitals · Reno, NV

3/5 CMS rating

OwnershipProprietary

CMS Certification Number290009

Location235 W 6th StReno, NV 89503 · Washoe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89503 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

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

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.

91.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.05

Promoting Interoperability

96.88

Improvement Activities

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.

MS. DEBRA JEAN MADISON APN

Nurse Practitioner (Neonatal)

235 W 6TH ST
RENO, NV 89503

Washoe County (775) 746-5388

MAGDALENA ALVAREZ RN

Registered Nurse (Oncology)

235 W 6TH ST
RENO, NV 89503

Washoe County (775) 770-3000

KRISTI MARIE LYLES NP

Nurse Practitioner

235 W 6TH ST
RENO, NV 89503

Washoe County (775) 770-3000

JENNIFER A SAHM M.D.

Emergency Medicine

235 W 6TH ST
RENO, NV 89503

Washoe County (775) 746-3202

CEP AMERICA - ANESTHESIA PC

Anesthesiology

235 W 6TH ST
RENO, NV 89503

Washoe County (775) 770-3000

JOHN E STEWART MD

Hospitalist

235 W 6TH ST
RENO, NV 89503

Washoe County (775) 982-7878

DR. REKA DANKO M.D.

Hospitalist

235 W 6TH ST
RENO, NV 89503

Washoe County (775) 770-6490

PRIME HEALTHCARE SERVICES RENO LLC

Psychiatric Unit

235 W 6TH ST
RENO, NV 89503

Washoe County (775) 770-3000

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 Shisir Shrestha's NPI number?

The NPI number for Shisir Shrestha is 1770043804. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Where is Shisir Shrestha located?

Shisir Shrestha practices at 235 W 6th St, Reno, NV 89503. The listed phone number is (775) 770-6490.

What is Shisir Shrestha's specialty?

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

Is Shisir Shrestha enrolled in Medicare?

Yes. Shisir 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.

Which organizations bill Medicare for Shisir Shrestha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shisir Shrestha reassigns Medicare benefits to 3 organizations: Jose A Aguirre MD PC Silver State (Reno, NV), Saint Marys Medical Group Inc. (Reno, NV) and Northbay Healthcare Group (Vacaville, CA). Each 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 Shisir Shrestha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shisir Shrestha accept?

Health plans from Ambetter from Arizona Complete Health list Shisir 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 Shisir Shrestha affiliated with any hospitals?

According to CMS data, Shisir Shrestha is affiliated with Saint Mary's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shisir Shrestha was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.