Individual provider Active NPI

Shrikant Tele, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Johns Island, SC
National Provider Identifier
1124387246
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD457047 Issued in PA
Practice address
3647 Maybank Hwy
Johns Island, SC 29455-4825
Phone
(843) 606-0001
Fax
(270) 249-4087
NPI assigned
May 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD457047 PA Primary

Addresses

Primary practice location

3647 Maybank Hwy
Johns Island, SC 29455-4825

Mailing address

26 Woodford St
Daniel Island, SC 29492-8046
Phone (843) 606-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160819000119 PA Practitioner - Physical Medicine and Rehabilitation 5698094183 Reassigns benefits to 2 organizations
I20200629002291 SC Practitioner - Physical Medicine and Rehabilitation 5698094183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deford Rehab Consulting LLCGroup PAC ID 8527392448, 5 clinicians

Practice addresses (Care Compare)

2600 Elms Plantation Blvd
North Charleston, SC 29406-9164
Phone (843) 764-3500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD457047PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gslpg, Inc CurrentSince Nov 4, 2019 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Aug 15, 2016 Accepting new patients
Deford Rehab Consulting LLC Physical Medicine & Rehabilitation CurrentSince Apr 1, 2020 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 15, 2016 Accepting new patients

Locations

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

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

2600 Elms Plantation Blvd
North Charleston, SC 29406
Phone (843) 574-7840

2680 Elms Plantation Blvd
Ste 101
North Charleston, SC 29406
Phone (843) 553-7122

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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1124387246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WOODFORD ST",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928046",
            "telephone_number": "843-606-0001",
            "fax_number": "270-249-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3647 MAYBANK HWY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554825",
            "telephone_number": "843-606-0001",
            "fax_number": "270-249-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELE",
        "first_name": "SHRIKANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD457047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Island, SC

Sources for this page

Verify at the official NPI Registry.