Active NPI
Shristi Neupane, MD
- Endocrinology, Diabetes & Metabolism Physician
- Havre de Grace, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 4301104622
- Practice address
- 2027 Pulaski Hwy Ste 207
Havre de Grace, MD 21078 - Phone
- (443) 843-6100
- Fax
- (443) 843-6130
- NPI assigned
- May 11, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 4301104622 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 4301104622 | MI | Primary |
Addresses
Primary practice location
2027 Pulaski Hwy Ste 207
Havre de Grace, MD 21078
Mailing address
2027 Pulaski Hwy Ste 207
Havre de Grace, MD 21078-2147
Phone (443) 843-6100
Other practice location 1
24 Frank Lloyd Wright Dr
Dominos Farms, Lobby C Suite 1300
Ann Arbor, MI 48105-9484
Phone (734) 647-5871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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
- Endocrinology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12 Newport Dr
Forest Hill, MD 21050-1758
2027 Pulaski Hwy
Suite 207
Havre de Grace, MD 21078-2147
Phone (443) 843-6130
Hospital & facility affiliations
- Umd Upper Chesapeake Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Chesapeake Endocrinology Associates, LLC | Current | Accepting new patients |
Locations
2027 Pulaski Hwy
Ste 207
Hvre de Grace, MD 21078
Phone (443) 843-6100
Interoperability endpoints
- sneupane651764@direct.umm.edu
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Aberdeen, MD
- NPI 1366639312
-
- Physical Therapist
- Forest Hill, MD
- NPI 1578900668
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bel Air, MD
- NPI 1598761355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1699067520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2027 PULASKI HWY STE 207",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210782147",
"telephone_number": "443-843-6100",
"fax_number": "443-843-6130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2027 PULASKI HWY STE 207",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "21078",
"telephone_number": "443-843-6100",
"fax_number": "443-843-6130"
}
],
"practiceLocations": [
{
"address_1": "24 Frank Lloyd Wright Dr",
"address_2": "Dominos Farms, Lobby C Suite 1300",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481059484",
"country_code": "US",
"telephone_number": "734-647-5871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEUPANE",
"first_name": "SHRISTI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-11",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301104622",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MI",
"license": "4301104622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Havre de Grace, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.