Active NPI
Shamly Venus Dhiman, M.D.
- Surgery Physician
- Rock Hill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 33450
- Practice address
- 1721 Ebenezer Rd Ste 175
Rock Hill, SC 29732-1188 - Phone
- (803) 324-5256
- Fax
- (803) 328-0440
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 40388 | TN | |
| Surgery Physician | 208600000X | 244029 | NY | |
| Surgery Physician | 208600000X | 437022 | PA | |
| Surgery Physician | 208600000X | 33450 | SC | Primary |
| Surgery Physician | 208600000X | 2011-00725 | NC |
Addresses
Primary practice location
1721 Ebenezer Rd Ste 175
Rock Hill, SC 29732-1188
Mailing address
PO Box 604350
Charlotte, NC 28260-4350
Phone (704) 364-8100
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02878908 | Medicaid | NY | |
| 33450 | Other | SC | MEDICAL LICENSE |
| 2011-00725 | Other | NC | MEDICAL LICENSE |
| 244029 | Other | NY | MEDICAL LICENSE |
| 40388 | Other | TN | MEDICAL LICENSE |
| 334506 | Medicaid | SC |
Other names 1
- Dr. Shamly Venus Amara
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Prep II LLC
Practice addresses (Care Compare)
1721 Ebenezer Rd
Suite 175
Rock Hill, SC 29732-1188
Phone (803) 324-5256
7300 Carmel Executive Park Dr
Suite 200
Charlotte, NC 28226-1336
Phone (704) 364-8104
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 19 |
| Mastectomy | 17 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011-00725 | NC | MD | Surgery Physician |
| 437022 | PA | MD | Surgery Physician |
| 33450 | SC | MD | Surgery Physician |
| 40388 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Prep II LLC | Surgery | Current | Accepting new patients |
| Novant Health Prep II LLC | Surgery | Current | Accepting new patients |
| Novant Health Prep II LLC | Surgery | Current | Accepting new patients |
| Novant Health Prep II LLC | Surgery | Current | Accepting new patients |
| Surgical Specialists of Charlotte, P.a. | Surgery | Current | Accepting new patients |
Locations
8201 Healthcare Loop
Ste 202
Charlotte, NC 28215
Phone (704) 316-1120
1918 Randolph Rd
Ste 300
Charlotte, NC 28207
Phone (704) 333-0741
7300 Carmel Executive Park Dr
Ste 200
Charlotte, NC 28226
Phone (704) 364-8100
10320 Mallard Creek Rd
Ste 100
Charlotte, NC 28262
Phone (704) 547-9500
10512 Park Rd
Ste 101
Charlotte, NC 28210
Phone (704) 339-1076
1918 Randolph Rd
Ste 130
Charlotte, NC 28207
Phone (704) 316-6005
10030 Gilead Rd
Ste 245
Huntersville, NC 28078
Phone (704) 895-9390
1450 Matthews Township Pkwy
Ste 250
Matthews, NC 28105
Phone (704) 841-1444
1700 1st Baxter Xing
Ste 102
Fort Mill, SC 29708
Phone (704) 342-1900
1721 Ebenezer Rd
Ste 175
Rock Hill, SC 29732
Phone (803) 324-5256
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
dba Surgical Specialists of Charlotte, a Novant Health network provider
- Surgery Physician
- Rock Hill, SC
- NPI 1033910708
-
dba Surgical Specialists of Charlotte, part of Novant Health
- Surgery Physician
- Charlotte, NC
- NPI 1952107385
-
dba Surgical Specialists of Charlotte, a Novant Health network provider - Rock Hill
- Surgery Physician
- Rock Hill, SC
- NPI 1134925563
-
dba Surgical Specialists of Charlotte, a Novant Health network provider - Huntersville
- Surgery Physician
- Huntersville, NC
- NPI 1518763945
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Medical Center
- General Acute Care Hospital
- Rock Hill, SC
- NPI 1457382483
-
dba CenterWell Home Health
- Home Health Agency
- Gaffney, SC
- NPI 1891724555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1245449354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 604350",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282604350",
"telephone_number": "704-364-8100",
"fax_number": "704-365-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 EBENEZER RD STE 175",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321188",
"telephone_number": "803-324-5256",
"fax_number": "803-328-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHIMAN",
"first_name": "SHAMLY",
"middle_name": "VENUS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "40388",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "244029",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "437022",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "33450",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2011-00725",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02878908",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "33450",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "2011-00725",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "244029",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "40388",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "334506",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHAMLY",
"last_name": "AMARA",
"middle_name": "VENUS",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.