Prakash Shrestha, M.D.
NPI 1427045392 · Family Medicine Physician · Dowagiac, MI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prakash Shrestha, M.D. is a Family Medicine Physician provider in Dowagiac, MI (NPI 1427045392).
Provider details
- NPI number
- 1427045392
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 5253 (SD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
500 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 292 | $127 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 84 | $124 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 35 | $89 |
| Hemoglobin A1c Level83036 | 33 | $10 |
| Administration of Influenza Virus VaccineG0008 | 23 | $31 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 21 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 112 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 504 | 165 |
| Levothyroxine Sodium | 414 | 106 |
| Amlodipine Besylate | 349 | 118 |
| Lisinopril | 326 | 98 |
| Metoprolol Succinate | 201 | 64 |
| Losartan Potassium | 188 | 64 |
| Metformin Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$217 across 10 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
Additional practice locations (3)
- 4 Longmeadow Village DrNiles, MI 49120Phone: (269) 684-6000Fax: (269) 684-1388
- 102 Major Allen DrMartin, SD 57551Phone: (605) 685-6868
- 102 Major Allen DrMartin, SD 57551Phone: (605) 685-6868
Registry dates
- Enumerated
- 2005-10-05
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Frequently asked questions
- What is Prakash Shrestha's NPI number?
- Prakash Shrestha's National Provider Identifier (NPI) is 1427045392, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prakash Shrestha's specialty?
- Prakash Shrestha is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prakash Shrestha located?
- Prakash Shrestha's practice location on file with NPPES is 520 Main St, Dowagiac, MI 49047-1762.
- What is Prakash Shrestha's phone number?
- The practice phone number listed in the NPPES registry for Prakash Shrestha is (269) 390-0536.
- Does Prakash Shrestha accept Medicare?
- Prakash Shrestha is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prakash Shrestha's NPI active?
- Yes — Prakash Shrestha's NPI (1427045392) is active in the NPPES registry as of the last update on 2024-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.