Individual provider Active NPI

Deepak Bhagwatial Shah, M.D.

  • Cardiovascular Disease Physician
  • Lancaster, SC
National Provider Identifier
1316993116
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
18454 Issued in SC
Practice address
1029 W Meeting St
Lancaster, SC 29720-2205
Phone
(803) 285-2041
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 18454 SC Primary

Addresses

Primary practice location

1029 W Meeting St
Lancaster, SC 29720-2205

Mailing address

1029 W Meeting St
Lancaster, SC 29720-2205
Phone (803) 285-2041

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070814000445 SC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1355432808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Heart Specialists LLCGroup PAC ID 0648361196, 9 clinicians

Practice addresses (Care Compare)

1029 W Meeting St
Lancaster, SC 29720-2205
Phone (803) 285-2041

Hospital & facility affiliations

  • Musc Health Lancaster Medical Center Hospital, Lancaster, SC, CCN 420036
  • Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002

Merit-based Incentive Payment System (MIPS)

Final score
98.18 of 100Reported as group
Quality
96.35
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18454SCMDCardiovascular Disease Physician

Interoperability endpoints

  • Direct secure messaging: deepak.shah.p1@direct.carolinaheart.nextgenshare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1316993116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 W MEETING ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202205",
            "telephone_number": "803-285-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 W MEETING ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202205",
            "telephone_number": "803-285-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DEEPAK",
        "middle_name": "BHAGWATIAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "18454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.