Active NPI
Pranabh Shrestha, MD
- Pulmonary Disease Physician
- Moscow, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- M-14643
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.65 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| M-14643 | ID | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| Gritman Medical Center Inc. | Current | Accepting new patients | |
| Gritman Medical Center Inc | Current | 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.
-
- Surgery Physician
- Vancouver, WA
- NPI 1609061969
-
- Critical Access Hospital
- Moscow, ID
- NPI 1619988144
-
- Clinic/Center
- Moscow, ID
- NPI 1790182590
-
- Rehabilitation Hospital Unit
- Monroe, LA
- NPI 1013906239
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.