Individual provider Active NPI

Keithe Saclayan Shensky, MD

  • Medical Oncology Physician
  • Matthews, NC
National Provider Identifier
1114360187
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
2019-00574 Issued in NC
Practice address
1700 Matthews Township Pkwy
Matthews, NC 28105-4658
Phone
(704) 841-8151
Fax
(704) 841-9228
NPI assigned
Apr 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X 2019-00574 NC
Student in an Organized Health Care Education/Training Program 390200000X 25MA09886700 NJ
Medical Oncology Physician 207RX0202X 2019-00574 NC Primary

Addresses

Primary practice location

1700 Matthews Township Pkwy
Matthews, NC 28105-4658

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

2 Cooper Plz Ste 3200
Camden, NJ 08103-1461
Phone (856) 632-2667

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kshensky736376@direct.novanthealth.org

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
I20191107002701 NC Practitioner - Internal Medicine 0941432736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

125 Queens Rd
Charlotte, NC 28204-3215

125 Queens Rd
Suite 430
Charlotte, NC 28204-3579
Phone (980) 302-6700

1700 Matthews Township Pkwy
Matthews, NC 28105-4658
Phone (980) 302-7010

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-9073

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171
  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190
  • Novant Health Ballantyne Medical Center Hospital, Charlotte, NC, CCN 340195

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019-00574NCMDHematology (Internal Medicine) Physician
25MA09886700NJMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital CurrentSince Sep 2, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 2, 2019 Accepting new patients
Novant Health Medical Group LLC CurrentSince Sep 2, 2019 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
The Presbyterian Hospital CurrentSince Sep 2, 2019 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Hematology & Oncology Past Accepting new patients
CMC Department of Medicine Group PA Past Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

10905 Providence Rd W
Ste 150
Charlotte, NC 28277
Phone (980) 302-7120

1718 E 4th St
Ste 707
Charlotte, NC 28204
Phone (704) 316-4485

125 Queens Rd
Ste 430
Charlotte, NC 28204
Phone (980) 302-6300

10030 Gilead Rd
Ste 350
Huntersville, NC 28078
Phone (704) 799-3946

1700 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 841-8151

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

1010 Bethesda Ct
Winston Salem, NC 27103
Phone (336) 277-6000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: kshensky736376@direct.novanthealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1114360187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MATTHEWS TOWNSHIP PKWY",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054658",
            "telephone_number": "704-841-8151",
            "fax_number": "704-841-9228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Cooper Plz Ste 3200",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031461",
            "country_code": "US",
            "telephone_number": "856-632-2667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHENSKY",
        "first_name": "KEITHE",
        "middle_name": "SACLAYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "NC",
            "license": "2019-00574",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": "25MA09886700",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NC",
            "license": "2019-00574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kshensky736376@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1700 Matthews Township Pkwy",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281054658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.