DR. PRABHAT P SHRESTHA M.D.
NPI 1942597463
Internal Medicine in Pittsburgh, PA

Q: What is Prabhat Shrestha's NPI number?

The NPI number for Prabhat Shrestha is 1942597463. It was assigned to this individual provider in the NPPES registry on July 5, 2011.

Q: What is Prabhat 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 Prabhat Shrestha was last updated on February 4, 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.

Active since July 05, 2011PECOS EnrolledAccepts Medicare Assignment

1400 LOCUST ST, UPMC - UNIVERSITY OF PITTSBURGH MEDICAL CENTER, PITTSBURGH, PA 15219(412) 232-5533 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Prabhat P Shrestha M.d. NPPES

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

DR. PRABHAT P SHRESTHA M.D. (NPI 1942597463) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MT200190) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2010).

NPPES Registry Identity

NPI1942597463

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. PRABHAT P SHRESTHACredential: M.D.

Location Address1400 LOCUST ST, UPMC - UNIVERSITY OF PITTSBURGH MEDICAL CENTERPittsburgh, PA 15219-5114

Mailing Address1400 Locust St, Upmc - Mercy HospitalPittsburgh, PA 15219-5114 · (412) 232-5533

Phone(412) 232-5533

Sole ProprietorNo

Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2010

Enumeration DateJuly 5, 2011

Last NPPES UpdateFebruary 4, 2022

NPPES CertifiedJune 7, 2021

✔ NPI 1942597463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MT200190

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.

1400 LOCUST ST, Pittsburgh, PA 15219

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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. Prabhat P 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 ID1456571595

PECOS Enrollment IDI20141013001156, I20180619001628

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.

Hospital Affiliations CMS Care Compare

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

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490050

Location1701 North George Mason DriveArlington, VA 22205 · Arlington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15219 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers13 claims14 services$18.83 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims14 services$111.91 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 20

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

DR. BRANDON JOSEPH SMITH MD, PHARMD

Internal Medicine (Infectious Disease)

1400 LOCUST ST, SUITE 10517
PITTSBURGH, PA 15219

Allegheny County (412) 232-5533

KATHERINE LISS

Nurse Anesthetist, Certified Registered