NPIMap

Individual provider Active NPI

Shyamal Kanti Palit, M.D.

  • Nephrology Physician
  • Fayetteville, NC
National Provider Identifier
1164725875
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2011-01518 Issued in NC
Practice address
557 Sandhurst Dr.
Fayetteville, NC 28304-4433
Phone
(910) 484-8114
Fax
(910) 484-1564
NPI assigned
Dec 20, 2010
Last updated
Apr 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Acute Care Hospital 282N00000X
Internal Medicine Physician 207R00000X 2011-01518 NC
Nephrology Physician 207RN0300X 2011-01518 NC Primary

Addresses

Primary practice location

557 Sandhurst Dr.
Fayetteville, NC 28304-4433

Mailing address

557 Sandhurst Dr.
Fayetteville, NC 28304-4433
Phone (910) 484-8114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111027000664 NC Practitioner - NephrologyPractitioner - Internal Medicine 6103099668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Kidney Care PAGroup PAC ID 4587576020, 24 clinicians

Practice addresses (Care Compare)

557 Sandhurst Dr
Fayetteville, NC 28304-4433
Phone (910) 484-8114

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.91 of 100Reported as group
Quality
60.8
Promoting interoperability
100
Improvement activities
40
Cost
86.4

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Kidney Care, PA Nephrology CurrentSince Aug 1, 2015 Accepting new patients
Bio-Medical Applications of Fayetteville, Inc. Past Accepting new patients

Locations

1740 Southeast Blvd
Clinton, NC 28328
Phone (910) 592-1600

101 Dialysis Dr
Elizabethtown, NC 28337
Phone (910) 862-7022

300 E McKay St
Ste D
Elizabethtown, NC 28337
Phone (910) 484-4100

704 S Walnut St
Fairmont, NC 28340
Phone (910) 628-6898

130 Longview Dr
Fayetteville, NC 28311
Phone (910) 482-3491

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

2560 Legion Rd
Fayetteville, NC 28306
Phone (910) 323-5288

526 Ramsey St
Fayetteville, NC 28301
Phone (704) 989-1800

557 Sandhurst Dr
Fayetteville, NC 28304

6959 Nexus Ct
Fayetteville, NC 28304
Phone (910) 867-2602

1250 Linkhaw Rd
Lumberton, NC 28358
Phone (910) 348-8760

720 Wesley Pines Rd
Lumberton, NC 28358
Phone (910) 738-2421

810 Wesley Pines Rd
Lumberton, NC 28358
Phone (910) 618-1055

1327 Harry West Ln
Pembroke, NC 28372
Phone (910) 522-7126

285 Paraclete Dr
Raeford, NC 28376
Phone (910) 878-0052

300 Medical Pavilion Dr
Ste 320
Raeford, NC 28376
Phone (910) 266-9900

403 S Main St
Raeford, NC 28376
Phone (910) 875-6561

1000 E 4th Ave
Red Springs, NC 28377
Phone (910) 843-9311

100 E Pleasant St
Roseboro, NC 28382
Phone (910) 525-0405

Interoperability endpoints

  • Direct secure messaging: spalit17188@direct.acumenmd.com
  • Direct secure messaging: spalit178675@direct.unc.nchie.net

Organizations & group practices 2

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.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1164725875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 SANDHURST DR.",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044433",
            "telephone_number": "910-484-8114",
            "fax_number": "910-484-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 SANDHURST DR.",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044433",
            "telephone_number": "910-484-8114",
            "fax_number": "910-484-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALIT",
        "first_name": "SHYAMAL",
        "middle_name": "KANTI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-20",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2011-01518",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2011-01518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.