Active NPI
Shimrit Sharav, MD
- Otolaryngology Physician
- Charleston, SC
National Provider Identifier
1255023883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- LL89805
- Practice address
- 9228 Medical Plaza Dr
Charleston, SC 29406-9125 - Phone
- (843) 574-5693
- NPI assigned
- May 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | LL89805 | SC | Primary |
Addresses
Primary practice location
9228 Medical Plaza Dr
Charleston, SC 29406-9125
Mailing address
2828 Waterpointe Cir
Mount Pleasant, SC 29466-6733
Phone (843) 543-3163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230823003959 | SC | Practitioner - Otolaryngology | 6709249717 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL89805 | SC | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1255023883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 WATERPOINTE CIR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294666733",
"telephone_number": "843-543-3163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9228 MEDICAL PLAZA DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294069125",
"telephone_number": "843-574-5693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARAV",
"first_name": "SHIMRIT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-23",
"last_updated": "2023-05-23",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "SC",
"license": "LL89805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.