SHIVANI SHRESTHA MD
NPI 1982226296
Student in an Organized Health Care Education/Training Program in New York City, NY
About Shivani Shrestha Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIVANI SHRESTHA MD (NPI 1982226296) is an individual student in an organized health care education/training program in New York City, New York and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Shivani 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.
Medicare Billing Reassignment
Medicare enrollment records show Shivani Shrestha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, KY 40504
- Reassigned Medicare billing, Kentucky enrollment
- 236 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Joseph Hospital
Acute Care Hospitals · Lexington, KYSaint Joseph London
Acute Care Hospitals · London, KYFrequently 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 Shivani Shrestha's NPI number?
The NPI number for Shivani Shrestha is 1982226296. It was assigned to this individual provider in the NPPES registry on May 8, 2020.
Where is Shivani Shrestha located?
Shivani Shrestha practices at 506 Lenox Avenue, Rm-13-106-Mlk, New York City, NY 10037. The listed phone number is (212) 939-1406.
What is Shivani Shrestha's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Shivani Shrestha enrolled in Medicare?
Yes. Shivani 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 organization bills Medicare for Shivani Shrestha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shivani Shrestha reassigns Medicare benefits to Cogent Healthcare Of Kentucky, Psc (Lexington, KY). The 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 Shivani Shrestha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shivani Shrestha accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Shivani 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 Shivani Shrestha affiliated with any hospitals?
According to CMS data, Shivani Shrestha is affiliated with Saint Joseph Hospital and Saint Joseph London.
When was this NPI record last updated?
The NPPES record for Shivani Shrestha was last updated on June 27, 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.
# Shivani Shrestha, MD · NPI 1982226296
Student in an Organized Health Care Education/Training Program provider in New York City, New York. Individual provider, active in the CMS NPPES registry since May 8, 2020.
## Identity
- **NPI:** 1982226296 (Entity type: Individual)
- **Enumerated:** May 8, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 506 LENOX AVENUE, RM-13-106-MLK, New York City, NY 10037
- **Phone:** (212) 939-1406 · **Fax:** (212) 939-1462
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cogent Healthcare Of Kentucky, Psc (NPI 1053362293, Lexington, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1982226296) · Data from the CMS NPPES public registry.