SANTOSH SHRESTHA M.D.
NPI 1942494018
Psychiatry & Neurology - Psychiatry in Springfield, IL

Active since August 31, 2007PECOS EnrolledAccepts Medicare Assignment
319 E MADISON ST FL 3, SPRINGFIELD, IL 62701(217) 545-8000(217) 545-2275 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Santosh Shrestha M.d. NPPES

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

SANTOSH SHRESTHA M.D. (NPI 1942494018) is an individual psychiatry provider in Springfield, Illinois, licensed in Illinois (036.125655) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1942494018
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSANTOSH SHRESTHACredential: M.D.
Location Address319 E MADISON ST FL 3Springfield, IL 62701-1035
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000 · Fax (217) 545-2275
Fax(217) 545-2275
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 31, 2007
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
NPI 1942494018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in IL · 036.125655
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

319 E MADISON ST FL 3, Springfield, IL 62701

Secondary Practice Location 1

Location 1710 N 8th StSpringfield, IL 62702-6324 · Phone (217) 525-1064 · Fax (217) 525-1503

Other Identifiers 1

Medicaid036125655IL

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

Santosh 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 ID3173700432
PECOS Enrollment IDI20110614000434
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 25 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.
125 services37 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
76 services50 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
31 services24 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
14 services11 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Social Worker (Clinical)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Social Worker (Clinical)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Child & Adolescent Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Child & Adolescent Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942494018, enumerated as an "individual" on August 31, 2007.

The provider is located at 319 E MADISON ST FL 3 SPRINGFIELD, IL 62701 and the phone number is (217) 545-8000.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Santosh Shrestha is affiliated with: MEMORIAL MEDICAL CENTER.