Individual provider Active NPI

Mahir I Shah, MD

  • Psychiatry Physician
  • Fort Mill, SC
National Provider Identifier
1083709182
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21001 Issued in SC
Practice address
951 Market St Ste 205
Fort Mill, SC 29708-6529
Phone
(803) 372-8585
Fax
(800) 598-6601
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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 21001 SC Primary

Addresses

Primary practice location

951 Market St Ste 205
Fort Mill, SC 29708-6529

Mailing address

1020 Emory LN
Fort Mill, SC 29708-0092
Phone (803) 372-8585

Other identifiers 1

IdentifierTypeStateIssuer
327877MedicaidSC

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
I20041110000576 SC Practitioner - Psychiatry 2567425523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1180 Stonecrest Blvd
Suite 101
Tega Cay, SC 29708-6555
Phone (803) 372-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21001SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Behavioral Health LLC Psychiatry CurrentSince Nov 19, 2022 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients
Orin Community Health Center Inc. Past Accepting new patients
H2 Management Group LLC Past Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients

Locations

951 Market St
Ste 205
Fort Mill, SC 29708
Phone (803) 328-8255

1180 Stonecrest Blvd
Ste 101
Tega Cay, SC 29708
Phone (803) 372-8585

Interoperability endpoints

  • Direct secure messaging: mahir.shah.1@31694.direct.athenahealth.com

Organizations & group practices 5

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1083709182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 EMORY LN",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297080092",
            "telephone_number": "803-372-8585",
            "fax_number": "800-598-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 MARKET ST STE 205",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086529",
            "telephone_number": "803-372-8585",
            "fax_number": "800-598-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MAHIR",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "21001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327877",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.