Prajwal Shrestha, MD
Internal Medicine Physician · Chicago, IL
Prajwal Shrestha, MD is an internal medicine physician with a practice address in Chicago, Illinois, and NPI 1306457312, issued on Aug 12, 2020. Check the license (Illinois 036.164275, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Prajwal Shrestha
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License numbers
- 036.164275 IL
125.076518 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1950 W Polk St, Chicago, IL 60612
- Phone
- (312) 864-7000
- Enumerated
- Aug 12, 2020
- Record last updated
- Jan 6, 2025
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 7,238 in Illinois → Look up another NPI →
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Verify Prajwal Shrestha in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036.164275Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
96% fewer Medicare Part D claims than the average internal medicine physician in 2024
123 Medicare Part D claims for 25 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims.
Most prescribed
- Atorvastatin Calcium19 claims
- Carvedilol15 claims
- Nifedipine Er14 claims
- Amlodipine Besylate12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 84.6 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $685.49
9 payments; by number, the most common kind was food and beverage; the largest payer was Inari Medical, Inc. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Prajwal Shrestha among 7,238 internal medicine physician records in Illinois
Prajwal Shrestha, MD is one of 7,238 internal medicine physician records with a practice address in Illinois. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 71% of them.
- NPI issued2020 · 71% of these records are older, 26% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileNo · 50% of these records are
- Record last updated2025 · 47% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
2,867 internal medicine physician records list a practice address in Chicago
They are 2,867 of the 63,379 NPPES records with a practice address in Chicago, and 7,238 internal medicine physician records in Illinois.
All 7,238 in Illinois → Every provider in Chicago → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Keith Boyd, M.D.Chicago, IL 606121174591978
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- Henry Danko, M.D.Chicago, IL 606121780659524
- Denis Evans, M.D.Chicago, IL 606121952385841
- Tabassum Faruqi, M.D.Chicago, IL 606121013968536
- David Goldberg, MDChicago, IL 606121275588444
- Ionut Ilie, M.D.Chicago, IL 606121619926383
- Padma Kudaravalli, M.D.Chicago, IL 606121427004514
Common questions
What is Prajwal Shrestha, MD's NPI number?
Prajwal Shrestha, MD's National Provider Identifier (NPI) is 1306457312, issued on Aug 12, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Prajwal Shrestha, MD located?
The NPPES record lists a practice address at 1950 W Polk St, Chicago, IL, 60612. Phone: (312) 864-7000. Providers update this record themselves, so call before visiting.
How can I verify Prajwal Shrestha, MD's license?
NPPES lists Illinois license number 036.164275, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Prajwal Shrestha, MD prescribe under Medicare Part D?
In 2024, Prajwal Shrestha, MD had 123 Medicare Part D claims for 25 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Prajwal Shrestha, MD's MIPS final score?
The 2023 MIPS final score is 84.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.