Active NPI
Promish Shrestha, MD
- Hospitalist Physician
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD60613593
- Practice address
- 500 Gypsy LN
Youngstown, OH 44504-1315 - Phone
- (425) 516-9577
- NPI assigned
- Jul 13, 2012
- Last updated
- Nov 10, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2015-01582 | NC | |
| Internal Medicine Physician | 207R00000X | MD60613593 | WA | |
| Hospitalist Physician | 208M00000X | MD60613593 | WA | Primary |
Addresses
Primary practice location
500 Gypsy LN
Youngstown, OH 44504-1315
Mailing address
500 Gypsy LN
Youngstown, OH 44504-1315
Phone (425) 516-9577
Other practice location 1
400 S 43rd St
Renton, WA 98055-5714
Phone (425) 228-3440 ext. 4322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2051082 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 424-4111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| Valley Medical Group-Renton | Internal Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Hospitalist | Current | Accepting new patients |
| Cogent Healthcare of Washington, PC | Internal Medicine | Current | Accepting new patients |
| Multicare Health System | Past | Accepting new patients |
Locations
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
202 N Division St
Auburn, WA 98001
Phone (253) 333-2562
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450
2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1861430522
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
-
dba Sound Inpatient Physicians
- Hospitalist Physician
- Centralia, WA
- NPI 1639346364
-
dba MultiCare Good Samaritan Hospital
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MultiCare Good Samaritan Hospital
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1366797524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 GYPSY LN",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041315",
"telephone_number": "425-516-9577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 GYPSY LN",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041315",
"telephone_number": "425-516-9577"
}
],
"practiceLocations": [
{
"address_1": "400 S 43rd St",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980555714",
"country_code": "US",
"telephone_number": "425-228-3440 x4322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHRESTHA",
"first_name": "PROMISH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-13",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2015-01582",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60613593",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD60613593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2051082",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.