Individual provider Active NPI

Pujan Shrestha, MD

  • Obstetrics & Gynecology Physician
  • Fredonia, NY
National Provider Identifier
1407112105
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
276048 Issued in NY
Practice address
268 W Main St
Fredonia, NY 14063-2200
Phone
(716) 672-2000
NPI assigned
Apr 6, 2012
Last updated
May 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 276048 NY Primary

Addresses

Primary practice location

268 W Main St
Fredonia, NY 14063-2200

Mailing address

268 W Main St
Fredonia, NY 14063-2200
Phone (716) 672-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141201001509 NY Practitioner - Obstetrics/Gynecology 7113249269 Reassigns benefits to 2 organizations
I20250102001892 UT Practitioner - Obstetrics/Gynecology 7113249269

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Physician Practice PCGroup PAC ID 6709007701, 143 clinicians

Practice addresses (Care Compare)

17 Sherman St
Jamestown, NY 14701-7087

207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 934-3641

31 Sherman St
Suite 2400
Jamestown, NY 14701-7082
Phone (814) 483-5306

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Pathology, PC Current Accepting new patients
St Josephs Hospital Health Center CurrentSince Dec 1, 2024 Accepting new patients
Jamestown Area Medical Associates, L.L.P. Obstetrics & Gynecology CurrentSince Jun 1, 1997 Accepting new patients
St Joseph's Hospital Health Center Obstetrics & Gynecology CurrentSince Dec 1, 2024 Accepting new patients
Great Lakes Physician Practice PC Obstetrics & Gynecology CurrentSince Jan 6, 2024 Accepting new patients
Upmc Chautauqua at Wca Past Accepting new patients
Nephrology Associates of Western New York, LLP Past Accepting new patients
General Physician, PC PastSince Jan 1, 2023 Accepting new patients
Maternal Fetal Services of Utah LLC Past Accepting new patients
Upmc Chautauqua at Wca Past Accepting new patients

Locations

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

Interoperability endpoints

  • Direct secure messaging: pujan.shrestha@upmcdirect.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1407112105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 W MAIN ST",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140632200",
            "telephone_number": "716-672-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 W MAIN ST",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140632200",
            "telephone_number": "716-672-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRESTHA",
        "first_name": "PUJAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-06",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "276048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredonia, NY

Sources for this page

Verify at the official NPI Registry.