Raj Shrestha, MD
NPI 1245532548 · Internal Medicine Physician · Williamson, WV
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raj Shrestha, MD is a Internal Medicine Physician provider in Williamson, WV (NPI 1245532548).
Provider details
- NPI number
- 1245532548
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 24867 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,129 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 410 | $116 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 323 | $77 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 208 | $112 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 128 | $49 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 48 | $169 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 16 | 13 |
| Atorvastatin Calcium | 15 | 13 |
| Cephalexin | 15 | 15 |
| Pantoprazole Sodium | 14 | 12 |
| Amlodipine Besylate | 14 | 14 |
| Carvedilol | 12 | — |
| Metoprolol Tartrate | 11 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$17 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-11-19
- Last updated
- 2012-07-23
Frequently asked questions
- What is Raj Shrestha's NPI number?
- Raj Shrestha's National Provider Identifier (NPI) is 1245532548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raj Shrestha's specialty?
- Raj Shrestha is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Raj Shrestha located?
- Raj Shrestha's practice location on file with NPPES is 213 Logan St, Williamson, WV 25661-3607.
- What is Raj Shrestha's phone number?
- The practice phone number listed in the NPPES registry for Raj Shrestha is (304) 236-5924.
- Does Raj Shrestha accept Medicare?
- Raj Shrestha is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raj Shrestha's NPI active?
- Yes — Raj Shrestha's NPI (1245532548) is active in the NPPES registry as of the last update on 2012-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.