NPIMap

Individual provider Active NPI

Raju Shrestha, PA-C

  • Surgical Physician Assistant
  • Rosedale, MD
National Provider Identifier
1356969752
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C0007502 Issued in MD
Practice address
5233 King Ave Ste 208
Rosedale, MD 21237-4003
Phone
(410) 918-1525
NPI assigned
Jul 12, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X C0007502 MD Primary

Addresses

Primary practice location

5233 King Ave Ste 208
Rosedale, MD 21237-4003

Mailing address

5233 King Ave Ste 208
Rosedale, MD 21237-4003
Phone (443) 248-9545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201023000749 MD Practitioner - Physician Assistant 7214357656 Reassigns benefits to 2 organizations
I20241211001356 DC Practitioner - Physician Assistant 7214357656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Surgical Group PAGroup PAC ID 3173417540, 8 clinicians
Washington Cardiovascular Institute, LLCGroup PAC ID 7517903982, 16 clinicians

Practice addresses (Care Compare)

1003 W 7TH St
Suite a
Frederick, MD 21701-4153
Phone (240) 529-1414

351 W Camden St
Suite 201
Baltimore, MD 21201-7912
Phone (410) 541-7800

7610 Carroll Ave
Suite 100
Takoma Park, MD 20912-6311
Phone (301) 891-2500

Hospital & facility affiliations

  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005
  • Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004
  • Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016
  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057

Merit-based Incentive Payment System (MIPS)

Final score
95.43 of 100Reported as group
Quality
94.46
Promoting interoperability
93
Improvement activities
40
Cost
77.35

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.18
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0007502MDMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Cardiovascular Institute LLC CurrentSince Aug 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

351 W Camden St
Fl 201
Baltimore, MD 21201
Phone (410) 541-7800

75 Thomas Johnson Dr
Ste I
Frederick, MD 21702
Phone (301) 378-0608

20400 Observation Dr
Ste 102
Germantown, MD 20876
Phone (301) 927-3668

9500 Medical Center Dr
Ste 450
Largo, MD 20774
Phone (301) 864-7100

7610 Carroll Ave
Ste 100
Takoma Park, MD 20912

2812 Old Lee Hwy
Ste 100B
Fairfax, VA 22031
Phone (571) 279-6849

Interoperability endpoints

  • Direct secure messaging: raju.shrestha.1@10710.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1594512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1356969752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 KING AVE STE 208",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374003",
            "telephone_number": "443-248-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 KING AVE STE 208",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374003",
            "telephone_number": "410-918-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRESTHA",
        "first_name": "RAJU",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-12",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0007502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.