Individual provider Active NPI

Shilpa Samir Dave Trivedi, M.D

  • Pediatrics Physician
  • Morrisville, NC
National Provider Identifier
1063667772
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2008-01454 Issued in NC
Practice address
1125 Hatches Pond LN Ste 101
Morrisville, NC 27560-6294
Phone
(919) 467-7425
Fax
(919) 467-7412
NPI assigned
Nov 21, 2008
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2008-01454 NC Primary

Addresses

Primary practice location

1125 Hatches Pond LN Ste 101
Morrisville, NC 27560-6294

Mailing address

6220, Kit Creek Rd
Morrisville, NC 27560
Phone (910) 584-5003

Other practice location 1

6402, Mccrimmon Pkwy ste#300,
Morrisville, NC 27560-8139
Phone (910) 584-5003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20111208000154 NC Practitioner - Pediatric Medicine 3971778689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4104 Surles CT
Suite 11
Durham, NC 27703-8239
Phone (919) 941-1911

4221 Tuckaseegee Rd
Charlotte, NC 28208-2801
Phone (704) 395-0060

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of North Carolina, P.C. CurrentSince Nov 1, 2011 Accepting new patients
American Current Care of North Carolina PC CurrentSince Nov 1, 2011 Accepting new patients
Carenow Pediatrics PLLC Pediatrics CurrentSince Jun 1, 2023 Accepting new patients
Wake Med Children's PM Pediatric Urgent Care Pediatrics CurrentSince May 8, 2022 Accepting new patients

Locations

4221 Tuckaseegee Rd
Charlotte, NC 28208
Phone (704) 392-4057

1125 Hatches Pond Ln
Ste 101
Morrisville, NC 27560
Phone (919) 467-7425

6402 McCrimmon Pkwy
Ste 300
Morrisville, NC 27560
Phone (910) 584-5003

4909 Green Rd
Raleigh, NC 27616
Phone (919) 790-0288

1 Hollow Ln
Ste 301
New Hyde Park, NY 11042
Phone (516) 207-7851

Interoperability endpoints

  • Direct secure messaging: shilpa.dave.trivedi.1@28123.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1063667772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220, KIT CREEK RD",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "27560",
            "telephone_number": "910-584-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 HATCHES POND LN STE 101",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606294",
            "telephone_number": "919-467-7425",
            "fax_number": "919-467-7412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6402, Mccrimmon Pkwy ste#300,",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275608139",
            "country_code": "US",
            "telephone_number": "910-584-5003",
            "fax_number": "919-584-8154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVE TRIVEDI",
        "first_name": "SHILPA",
        "middle_name": "SAMIR",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2008-01454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

Verify at the official NPI Registry.