Active NPI
Shreeya Thapa
- Family Medicine Physician
- Sumter, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- LL96944
- Practice address
- 129 N Washington St
Sumter, SC 29150-4949 - Phone
- (803) 774-4500
- NPI assigned
- Jul 3, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | P136062 | NY | |
| Family Medicine Physician | 207Q00000X | LL96944 | SC | Primary |
Addresses
Primary practice location
129 N Washington St
Sumter, SC 29150-4949
Mailing address
180 Lee Ave
Hicksville, NY 11801-5844
Phone (646) 267-4561
Other practice location 1
60 Merrick Ave
East Meadow, NY 11554-1578
Phone (516) 222-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Saint Pauls PL
Great Neck, NY 11021-2636
Phone (646) 296-1508
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P136062 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mill Basin Medical Health PC | Internal Medicine | Current | Accepting new patients |
Locations
257 State St
Batavia, NY 14020
Phone (585) 343-1300
1583 E 66th St
#1
Brooklyn, NY 11234
Phone (917) 318-4724
60 Merrick Ave
East Meadow, NY 11554
Phone (516) 222-9300
15 Saint Pauls Pl
Great Neck Plaza, NY 11021
Phone (516) 466-3001
48 Frost Ln
Unit A
Lawrence, NY 11559
Phone (516) 587-9960
14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1346006202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1366332223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 LEE AVE",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118015844",
"telephone_number": "646-267-4561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 N WASHINGTON ST",
"city": "SUMTER",
"state": "SC",
"postal_code": "291504949",
"telephone_number": "803-774-4500"
}
],
"practiceLocations": [
{
"address_1": "60 Merrick Ave",
"address_purpose": "LOCATION",
"city": "East Meadow",
"state": "NY",
"postal_code": "115541578",
"country_code": "US",
"telephone_number": "516-222-9300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THAPA",
"first_name": "SHREEYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-03",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "P136062",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "LL96944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.