Anup Shrestha, M.D.
NPI 1316379613 · Internal Medicine Physician · Sioux Falls, SD
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anup Shrestha, M.D. is a Internal Medicine Physician provider in Sioux Falls, SD (NPI 1316379613).
Provider details
- NPI number
- 1316379613
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 9488 (SD)
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
12 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
546 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 35 Minutes99232 | 314 | $73 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 76 | $75 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 57 | $8 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 44 | $121 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 28 | $46 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$457 across 5 records (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
- 2013-08-08
- Last updated
- 2015-08-25
Frequently asked questions
- What is Anup Shrestha's NPI number?
- Anup Shrestha's National Provider Identifier (NPI) is 1316379613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anup Shrestha's specialty?
- Anup Shrestha is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Anup Shrestha located?
- Anup Shrestha's practice location on file with NPPES is 1325 S Cliff Ave, Sioux Falls, SD 57105-1007.
- What is Anup Shrestha's phone number?
- The practice phone number listed in the NPPES registry for Anup Shrestha is (605) 322-7905.
- Does Anup Shrestha accept Medicare?
- Anup Shrestha is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anup Shrestha's NPI active?
- Yes — Anup Shrestha's NPI (1316379613) is active in the NPPES registry as of the last update on 2015-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.