Individual provider Active NPI

Urvi Shah, MD

  • Psychiatry Physician
  • Anderson, SC
National Provider Identifier
1053759332
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
38108 Issued in SC
Practice address
130 Highway 252
Anderson, SC 29621-5054
Phone
(864) 231-2600
NPI assigned
Jun 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 38108 SC Primary

Addresses

Primary practice location

130 Highway 252
Anderson, SC 29621-5054

Mailing address

130 Highway 252
Anderson, SC 29621-5054
Phone (864) 231-2600

Other practice location 1

200 McGee Rd
Anderson, SC 29625-2104
Phone (864) 260-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170913001435 SC Practitioner - Psychiatry 6406129436 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38108SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BG Neurology LLC Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jul 2, 2017 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Psychiatry CurrentSince Jul 2, 2017 Accepting new patients
South Carolina Neurology Associates LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

200 McGee Rd
Anderson, SC 29625
Phone (864) 260-2220

130 Highway 252
Anderson, SC 29621
Phone (864) 231-2600

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053759332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HIGHWAY 252",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215054",
            "telephone_number": "864-231-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HIGHWAY 252",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215054",
            "telephone_number": "864-231-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 McGee Rd",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296252104",
            "country_code": "US",
            "telephone_number": "864-260-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "URVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "38108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.