Niranjan Shrestha, MD, FAAFP - Medicare Family Practice in Centralia, IL

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Niranjan Shrestha, MD, FAAFP is a medicare enrolled "Family Medicine" physician in Centralia, Illinois. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. His current practice location is 1050 M L King Dr Ste 111, Centralia, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 436-5237.

Niranjan Shrestha is licensed to practice in Illinois (license number 036.122701) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508031758.

Contact Information

Niranjan Shrestha, MD, FAAFP
1050 M L King Dr Ste 111,
Centralia, IL 62801-3060
(618) 436-5237
(618) 436-5236

Map and Direction




Physician's Profile

Full NameNiranjan Shrestha
GenderMale
SpecialityFamily Practice
Experience23 Years
Location1050 M L King Dr Ste 111, Centralia, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Niranjan Shrestha graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1508031758
  • Provider Enumeration Date: 04/29/2008
  • Last Update Date: 10/03/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1759437924
  • Enrollment ID: I20090914000592

Medical Identifiers

Medical identifiers for Niranjan Shrestha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508031758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 57009736 (Ohio)Secondary
207Q00000XFamily Medicine 036.122701 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Regional Home Care - CrossroadsMount vernon, ILHome health agency
Caretenders Visiting Services Of Southern IllinoisFairview heights, ILHome health agency
Ssm Health At Home Health-illinoisMount vernon, ILHome health agency
Ssm Health St Mary's Hospital -centraliaCentralia, ILHospital
University Of Illinois HospitalChicago, ILHospital
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital
Centralia ManorCentralia, ILNursing home
Fireside House Of CentraliaCentralia, ILNursing home

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Niranjan Shrestha allows following entities to bill medicare on his behalf.
Entity NameDr Shrestha Md Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699045740
PECOS PAC ID: 3779742986
Enrollment ID: O20120307000814

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Niranjan Shrestha is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Niranjan Shrestha, MD, FAAFP
1050 M L King Dr Ste 111,
Centralia, IL 62801-3060

Ph: (618) 436-5237		Niranjan Shrestha, MD, FAAFP
1050 M L King Dr Ste 111,
Centralia, IL 62801-3060

Ph: (618) 436-5237

Reviews and Comments


Family Medicine Doctors in Centralia, IL

Dr. Usha Kiran Sadanala, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1441 W Broadway, Centralia, IL 62801
Phone: 618-532-9050    
Dr. Balavittal Varanasi, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 936 M L King Dr, Centralia, IL 62801
Phone: 618-532-6439    Fax: 618-532-1549
Dr. David Ray Collins, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 642 Community Beach Rd, Centralia, IL 62801
Phone: 618-532-7939    
Dr. Venerio Melendres Santos, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 9330 Shattuc Rd, Centralia, IL 62801
Phone: 618-533-4111    Fax: 618-533-0370
Lyle D Pahnke Jr., MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 400 N Pleasant Ave, Centralia, IL 62801
Phone: 618-436-6318    Fax: 618-436-6386

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.