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PREM LAL SHRESTHA
NPI 1780202077
Nurse Practitioner - Family in Austin, TX

Active since July 13, 2020PECOS Enrolled
12445 ALAMEDA TRACE CIR APT 825, AUSTIN, TX 78727(256) 585-9205 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Prem Lal Shrestha NPPES

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

PREM LAL SHRESTHA (NPI 1780202077) is an individual family provider in Austin, Texas, licensed in Texas (230389) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1780202077
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NamePREM LAL SHRESTHA
Location Address12445 ALAMEDA TRACE CIR APT 825Austin, TX 78727-6487
Mailing Address12445 Alameda Trace Cir Apt 825Austin, TX 78727-6487 · (256) 585-9205
Phone(256) 585-9205
Sole ProprietorNo
Enumeration DateJuly 13, 2020
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1780202077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 230389
Also ListedRegistered NurseTaxonomy 163W00000X · License 230389 (TN)
12445 ALAMEDA TRACE CIR APT 825, Austin, TX 78727
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Secondary Practice Location 1

Location 16400 Lonas Dr Apt 297Knoxville, TN 37909-2727 · Phone (256) 585-9205

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prem Lal Shrestha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

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

Vpa Of Texas PLLC
4.8 mi
Family Medicine
7800 SHOAL CREEK BLVD STE 118W
Austin, TX 78757
  • Reassigned Medicare billing, Texas enrollment
  • 802 clinicians in this Medicare group
NPI 1457399065 (512) 407-8880
Texas Digestive Disease Consultants, PLLC
148 mi
Gastroenterology
4100 S SHEPHERD DR
Houston, TX 77098
  • Reassigned Medicare billing, Texas enrollment
  • 575 clinicians in this Medicare group
NPI 1013429968 (832) 255-5681
Signify Health Medical Associates, PLLC
180 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 3

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.

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.
367 services254 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.
141 services119 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78727 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

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 Prem Shrestha's NPI number?

The NPI number for Prem Shrestha is 1780202077. It was assigned to this individual provider in the NPPES registry on July 13, 2020.

Where is Prem Shrestha located?

Prem Shrestha practices at 12445 Alameda Trace Cir Apt 825, Austin, TX 78727. The listed phone number is (256) 585-9205.

What is Prem Shrestha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Prem Shrestha enrolled in Medicare?

Yes. Prem Shrestha is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Prem Shrestha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prem Shrestha reassigns Medicare benefits to 3 organizations: Vpa Of Texas PLLC (Austin, TX), Texas Digestive Disease Consultants, PLLC (Houston, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Prem Shrestha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prem Shrestha accept?

Health plans from Blue Cross and Blue Shield of Texas list Prem 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.

When was this NPI record last updated?

The NPPES record for Prem Shrestha was last updated on March 30, 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.