DR. PRAGYA SHRESTHA (M.D.) – Internal Medicine Physician, NPI 1184880932
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,930 INTERNAL MEDICINE in VA
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Provider Addresses for DR. PRAGYA SHRESTHA (M.D.)
Belleview Avenue, Roanoke, Westport, Kansas City, Jackson County, Missouri, 64111, United States
ROANOKE, VA 240141838
Phone: (540) 981-7000
Fax: (540) 853-0931
Type: Mailing
1906, Belleview Avenue Southeast, Bellview Terrace, Roanoke, Roanoke (city), Virginia, 24014, United States
ROANOKE, VA 240141838
Phone: (540) 981-7000
Fax: (540) 853-0931
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: CSL Behring ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CSL Behring | $23 |
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: 2013-05-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20110614000023 | I | Internal Medicine | VA | TBD |
| I20130523000459 | I | Internal Medicine | DC | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 488 | 217 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 170 | 167 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 82 | 53 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 67 | 65 | $0 |
| 99291 | Critical care, first 30-74 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 24014)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine, Internal Medicine | VA | |
| Nurse Practitioner | VA | |
| Family Practice | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| Internal Medicine | VA | |
| Hospitalist, Internal Medicine, Internal Medicine | SC | |
| Hospitalist, Internal Medicine | VA | |
| Internal Medicine | TX | |
| Internal Medicine | RI |
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