Individual provider Active NPI

Pranabh Shrestha, MD

  • Pulmonary Disease Physician
  • Moscow, ID
National Provider Identifier
1598085490
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
M-14643 Issued in ID
Practice address
700 S Main St
Moscow, ID 83843
Phone
(208) 882-4511
NPI assigned
Jun 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X M-14643 ID
Critical Care Medicine (Internal Medicine) Physician 207RC0200X M-14643 ID
Pulmonary Disease Physician 207RP1001X MD61325352 WA
Pulmonary Disease Physician 207RP1001X M-14643 ID Primary

Addresses

Primary practice location

700 S Main St
Moscow, ID 83843

Mailing address

700 S Main St
Moscow, ID 83843-3046
Phone (208) 882-4511

Other practice location 1

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4541

Other practice location 2

200 NE Mother Joseph Pl Ste 330
Vancouver, WA 98664-3288
Phone (360) 514-2990

Other practice location 3

505 NE 87th Ave Ste 460
Vancouver, WA 98664-1965
Phone (360) 514-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 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
I20190628002211 ID Practitioner - Internal Medicine 4587988159 Reassigns benefits to 1 organization
I20250110001917 WA Practitioner - Pulmonary Disease 4587988159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PeacehealthGroup PAC ID 8820178288, 245 clinicians

Practice addresses (Care Compare)

505 NE 87TH Ave
Suite 460
Vancouver, WA 98664-1965
Phone (360) 514-6390

Hospital & facility affiliations

  • Peacehealth Southwest Medical Cente Hospital, Vancouver, WA, CCN 500050

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-14643IDMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Jan 7, 2025 Accepting new patients
Gritman Medical Center Inc. CurrentSince Aug 1, 2019 Accepting new patients
Gritman Medical Center Inc CurrentSince Aug 1, 2019 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients

Locations

719 S Main St
Moscow, ID 83843
Phone (208) 848-8300

700 S Main St
Moscow, ID 83843
Phone (208) 746-7555

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

505 NE 87th Ave
Ste 460
Vancouver, WA 98664
Phone (360) 514-2470

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

200 NE Mother Joseph Pl
Ste 330
Vancouver, WA 98664
Phone (360) 514-2990

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

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 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": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1598085490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S MAIN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433046",
            "telephone_number": "208-882-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S MAIN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "83843",
            "telephone_number": "208-882-4511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "71201",
            "country_code": "US",
            "telephone_number": "318-966-4541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 NE Mother Joseph Pl Ste 330",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986643288",
            "country_code": "US",
            "telephone_number": "360-514-2990",
            "fax_number": "360-514-3508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 NE 87th Ave Ste 460",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986641965",
            "country_code": "US",
            "telephone_number": "360-514-7771",
            "fax_number": "360-514-7769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRESTHA",
        "first_name": "PRANABH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "ID",
            "license": "M-14643",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "ID",
            "license": "M-14643",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD61325352",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "ID",
            "license": "M-14643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

Verify at the official NPI Registry.