Individual provider Active NPI

Resha Shrestha, MD

  • Family Medicine Physician
  • Waxhaw, NC
National Provider Identifier
1770147084
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2022-02565 Issued in NC
Practice address
3614 S Providence Rd Ste 200
Waxhaw, NC 28173-6310
Phone
(704) 384-8640
Fax
(704) 384-8650
NPI assigned
Apr 23, 2019
Last updated
Dec 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 88310 SC
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X
Family Medicine Physician 207Q00000X 2022-02565 NC Primary

Addresses

Primary practice location

3614 S Providence Rd Ste 200
Waxhaw, NC 28173-6310

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

15400 W McNichols Rd
Detroit, MI 48235-3724
Phone (313) 416-4865

Other practice location 2

1435 Ebenezer Rd
Rock Hill, SC 29732-2338
Phone (803) 328-3828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250110000984 NC Practitioner - Family Practice 5193059541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 510-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-02565NCMDFamily Medicine Physician
88310SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Dec 1, 2024 Accepting new patients
Novant Health Medical Group, LLC Single Specialty Current Accepting new patients
Novant Health Medical Group, LLC Single Specialty Current Accepting new patients
Novant Health Medical Group, LLC Single Specialty Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

3614 S Providence Rd
Ste 101
Waxhaw, NC 28173
Phone (704) 341-9600

3614 S Providence Rd
Ste 200
Waxhaw, NC 28173
Phone (704) 367-4800

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

6237 Carolina Commons Dr
Ste 101
Indian Land, SC 29707
Phone (803) 548-9393

1435 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 328-3828

Interoperability endpoints

  • Direct secure messaging: rshrestha1069034@direct.novanthealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1770147084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 S PROVIDENCE RD STE 200",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736310",
            "telephone_number": "704-384-8640",
            "fax_number": "704-384-8650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15400 W McNichols Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482353724",
            "country_code": "US",
            "telephone_number": "313-416-4865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1435 Ebenezer Rd",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297322338",
            "country_code": "US",
            "telephone_number": "803-328-3828",
            "fax_number": "803-328-3879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRESTHA",
        "first_name": "RESHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "88310",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2022-02565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

Verify at the official NPI Registry.