Individual provider Active NPI

Tarunendu Shekhar Dwivedi, M.D.

  • Psychiatry Physician
  • Rock Hill, SC
National Provider Identifier
1063481844
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
26861 Issued in SC
Practice address
1721 Ebenezer Rd
Suite 265
Rock Hill, SC 29732-4103
Phone
(803) 329-7778
Fax
(803) 329-7843
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 26861 SC
Psychiatry Physician 2084P0800X 26861 SC Primary

Addresses

Primary practice location

1721 Ebenezer Rd
Suite 265
Rock Hill, SC 29732-4103

Mailing address

1721 Ebenezer Rd
Suite 265
Rock Hill, SC 29732-4103
Phone (803) 329-7778

Other identifiers 1

IdentifierTypeStateIssuer
268613MedicaidSC

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
I20050919000036 SC Practitioner - Psychiatry 4688607948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1721 Ebenezer Rd
Suite 265
Rock Hill, SC 29732-5100
Phone (803) 329-7778

Merit-based Incentive Payment System (MIPS)

Final score
87.26 of 100Reported as group
Quality
84.96
Promoting interoperability
100
Improvement activities
40
Cost
72.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tarunendu S Dwivedi MD PC Psychiatry CurrentSince Jul 28, 2005 Accepting new patients
Taral Sharma MD PC CurrentSince May 1, 2025 Accepting new patients

Locations

120 Pelham Ln
Anderson, SC 29621
Phone (864) 627-5337

10 Financial Blvd
Anderson, SC 29621
Phone (855) 663-7772

1721 Ebenezer Rd
Ste 265
Rock Hill, SC 29732
Phone (803) 329-7778

1721 Ebenezer Rd
#265A
Rock Hill, SC 29732
Phone (864) 844-9432

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1063481844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 EBENEZER RD",
            "address_2": "SUITE 265",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297324103",
            "telephone_number": "803-329-7778",
            "fax_number": "803-329-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 EBENEZER RD",
            "address_2": "SUITE 265",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297324103",
            "telephone_number": "803-329-7778",
            "fax_number": "803-329-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWIVEDI",
        "first_name": "TARUNENDU",
        "middle_name": "SHEKHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "26861",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "26861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268613",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.