Individual provider Active NPI

Harsh Rakeshkumar Shah, D.O

  • Pain Medicine (Anesthesiology) Physician
  • Charlotte, NC
National Provider Identifier
1114451820
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036166742 Issued in IL
Practice address
10628 Park Rd
Charlotte, NC 28210-8407
Phone
(800) 461-1398
NPI assigned
Apr 19, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036166742 IL
Anesthesiology Physician 207L00000X 03504 NC
Anesthesiology Physician 207L00000X 95606 SC
Pain Medicine (Anesthesiology) Physician 207LP2900X 036166742 IL Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 03504 NC
Pain Medicine (Anesthesiology) Physician 207LP2900X 95606 SC

Addresses

Primary practice location

10628 Park Rd
Charlotte, NC 28210-8407

Mailing address

PO Box 2974
Rock Hill, SC 29732-4974

Other practice location 1

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 329-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, IL, IA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220803002701 PA Practitioner - Pain Management 1850662156 Reassigns benefits to 1 organization
I20221014001058 NJ Practitioner - Pain Management 1850662156 Reassigns benefits to 1 organization
I20230921001390 IL Practitioner - Anesthesiology 1850662156 Reassigns benefits to 3 organizations
I20250310001841 IA Practitioner - Anesthesiology 1850662156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Associated Anesthesiologists SCGroup PAC ID 6305744129, 150 clinicians
Mercy Medical CenterGroup PAC ID 4183535271, 295 clinicians

Practice addresses (Care Compare)

2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-3311

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 655-2000

6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393

701 10TH St SE
Cedar Rapids, IA 52403-1251

701 10TH St SE
Cedar Rapids, IA 52403-1292

701 10TH St SE J Edward Lundy
Mercy Pediatric Clinic
Cedar Rapids, IA 52403-1251
Phone (319) 832-2328

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95606SCMDAnesthesiology Physician
036166742ILMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Warren Physician Group, PC CurrentSince Jul 18, 2022 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
Associated Anesthesiologists, SC Anesthesiology CurrentSince Oct 9, 2023 Accepting new patients
Associated Anesthesiologists, S.C. Anesthesiology CurrentSince Oct 9, 2023 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Mercy Medical Center CurrentSince Feb 1, 2025 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Anesthesiology CurrentSince Mar 10, 2025 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jul 18, 2022 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jul 18, 2022 Accepting new patients
Mercy Medical Center Current Accepting new patients
Mercy Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Sep 11, 2023 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Jul 18, 2022 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Anesthesia Associates of Rock Hill, P.a. Anesthesiology Past Accepting new patients

Locations

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

2200 E Washington St
Bloomington, IL 61701
Phone (309) 662-3311

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

200 E Pennsylvania Ave
Peoria, IL 61603
Phone (309) 624-4000

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

755 Memorial Pkwy
Ste 201
Phillipsburg, NJ 08865
Phone (484) 503-0055

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1114451820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2974",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297324974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10628 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108407",
            "telephone_number": "800-461-1398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Herlong Ave S",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321158",
            "country_code": "US",
            "telephone_number": "803-329-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HARSH",
        "middle_name": "RAKESHKUMAR",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036166742",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "03504",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "95606",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036166742",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "03504",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "95606",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.