Individual provider Active NPI

Shivani Shrestha, MD

  • Internal Medicine Physician
  • New York City, NY
National Provider Identifier
1982226296
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57610 Issued in KY
Practice address
506 Lenox Avenue, RM-13-106-MLK
New York City, NY 10037
Phone
(212) 939-1406
Fax
(212) 939-1462
NPI assigned
May 8, 2020
Reactivated
Jun 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57610 KY Primary

Addresses

Primary practice location

506 Lenox Avenue, RM-13-106-MLK
New York City, NY 10037

Mailing address

506 Lenox Avenue, RM-13-106-MLK
New York City, NY 10037-1802
Phone (212) 939-1406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20230922001235 KY Practitioner - Internal Medicine 2769836832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 Saint Joseph LN
London, KY 40741-8345
Phone (606) 330-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Kentucky, PSC Family Medicine CurrentSince Aug 15, 2023 Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients

Locations

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

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

Hospital & facility affiliations 4

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": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1982226296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 LENOX AVENUE, RM-13-106-MLK",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "100371802",
            "telephone_number": "212-939-1406",
            "fax_number": "212-939-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 LENOX AVENUE, RM-13-106-MLK",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10037",
            "telephone_number": "212-939-1406",
            "fax_number": "212-939-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRESTHA",
        "first_name": "SHIVANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "deactivation_date": "2022-01-11",
        "reactivation_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "57610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York City, NY

Sources for this page

Verify at the official NPI Registry.