Active NPI
Shraddha Shrestha, M.D.
- Pediatrics Physician
- Harvest, AL
National Provider Identifier
1659564748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 29708
- Practice address
- 29869 Capshaw Road
Harvest, AL 35749 - Phone
- (256) 262-1040
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Harvest, AL
- NPI 1083078596
AL, Pediatrics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100107000441 | AL | Practitioner - Pediatric Medicine | 8123169539 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29708 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Pediatrics and Family Medicine, P.C | Pediatrics | Current | Accepting new patients |
Interoperability endpoints
- shshrest@pcpafmp-al.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 29708 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
29869 Capshaw Road
Harvest, AL 35749
Mailing address
PO Box 999
Harvest, AL 35749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2016.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1659564748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 999",
"city": "HARVEST",
"state": "AL",
"postal_code": "35749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29869 CAPSHAW ROAD",
"city": "HARVEST",
"state": "AL",
"postal_code": "35749",
"telephone_number": "256-262-1040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRESTHA",
"first_name": "SHRADDHA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "29708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harvest, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.