DR. PRAKASH TAUJALE SHRESTHA (M.D.) – Family Medicine Physician, NPI 1427045392
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. PRAKASH TAUJALE SHRESTHA (M.D.)
4, Longmeadow Village Drive, Niles Charter Township, Berrien County, Michigan, 49120, United States
NILES, MI 491207809
Phone: (269) 684-6000
Fax: (269) 684-1388
Type: Mailing
520 MAIN ST
DOWAGIAC, MI 490471762
Phone: (269) 390-0536
Type: Mailing
102 Major Allen Dr
Martin, SD 57551
Phone: (605) 685-6868
Type: Location
4 Longmeadow Village Dr
Niles, MI 49120
Phone: (269) 684-6000
Fax: (269) 684-1388
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 57 Open Payments records for all available years, with a total value of $1,111.
Total Amount is formed as General ($1,111) + Research ($0) + Ownership ($0) = $1,111.
Last reported payment date: 2024-08-08 • Largest payer in this snapshot: ABBVIE INC. ($175).
Total Amount
$1,111
General + Research + Ownership
Payments
57
Total payment records
General Amount
$1,111
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $175 |
| Lilly USA, LLC | $167 |
| Novo Nordisk Inc | $135 |
| GlaxoSmithKline, LLC. | $95 |
| Exact Sciences Corporation | $57 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-08-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160801002729 | I | Family Practice | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 467 | 261 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 143 | 143 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 133 | 102 | $0 |
| 83036 | Hemoglobin a1c level | 65 | 50 | $0 |
| G0008 | Administration of influenza virus vaccine | 64 | 64 | $0 |
Insurance plans in this area (ZIP 49120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI |
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