Sanjib Shrestha, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16694 Issued in MS

Practice address

827 Annandale Rd
Madison, MS 39110-7824

Phone

(601) 420-0141

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Claiborne County Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Port Gibson, MS
  • NPI 1710238324
  Medicare reassignment NPD
• Howcott Emergency Physicians

  • Emergency Medicine Physician
  • Canton, MS
  • NPI 1548451495
  NPD (past)
• Madison Hma LLC

  • Multi-Specialty Clinic/Center
  • Canton, MS
  • NPI 1578129177
  NPD (past)
• Madison Hma Physician Management LLC

  • Obstetrics & Gynecology Physician
  • Canton, MS
  • NPI 1740359249
  NPD (past)
• North Madison Physician Billing

  • Emergency Medical Services (Emergency Medicine) Physician
  • Canton, MS
  • NPI 1487727525
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1285715938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 ANNANDALE RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107824",
            "telephone_number": "601-420-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 ANNANDALE RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107824",
            "telephone_number": "601-420-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRESTHA",
        "first_name": "SANJIB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "16694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00012153",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Schurwanz, RN, IBCLC
• Select Medical LLC
• Robert P. N. Shearin, M.D.
• Tracy Shipp, M.S. CCC-SLP
• Gretchen Elizabeth Shirley, R.PH.
• Signature Smiles PLLC
• Russell E. Simkins, PHARMD
• Anne Marie Simmons, PHARMD
• John Christopher Simmons, CRNA
• Jessica C Sinclair, FNP-C

• Internal Medicine Physician in Madison, MS
• Providers in Madison, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.