Active NPI
Santosh Shrestha, M.D.
- Psychiatry Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036.125655
- Practice address
- 319 E Madison St FL 3
Springfield, IL 62701-1035 - Phone
- (217) 545-8000
- Fax
- (217) 545-2275
- NPI assigned
- Aug 31, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036.125655 | IL | Primary |
Addresses
Primary practice location
319 E Madison St FL 3
Springfield, IL 62701-1035
Mailing address
PO Box 19639
Springfield, IL 62794-9639
Phone (217) 545-8000
Other practice location 1
710 N 8th St
Springfield, IL 62702-6324
Phone (217) 525-1064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036125655 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
- Psychiatry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
751 N Rutledge St
Springfield, IL 62702-4968
Phone (217) 545-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.125655 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Psychiatry | Current | Accepting new patients |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients |
Locations
520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100
319 E Madison St
Fl 3
Springfield, IL 62701
Phone (217) 545-7627
901 W Jefferson St
Springfield, IL 62702
Phone (217) 545-8229
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
Interoperability endpoints
- santoshshrestha@siusm.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
Psychiatry
-
- Primary Care Clinic/Center
- Springfield, IL
- NPI 1396097960
-
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1215978127
-
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1568210425
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1255317590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1942494018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19639",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949639",
"telephone_number": "217-545-8000",
"fax_number": "217-545-2275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 E MADISON ST FL 3",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627011035",
"telephone_number": "217-545-8000",
"fax_number": "217-545-2275"
}
],
"practiceLocations": [
{
"address_1": "710 N 8th St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627026324",
"country_code": "US",
"telephone_number": "217-525-1064",
"fax_number": "217-525-1503",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHRESTHA",
"first_name": "SANTOSH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-31",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.125655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036125655",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.