Active NPI
Nevin Mahendra Shrimanker, M.D.
- Pain Medicine (Anesthesiology) Physician
- Wake Forest, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 200701990
- Practice address
- 110 Capcom Ave Ste 200
Wake Forest, NC 27587-6531 - Phone
- (919) 229-4046
- NPI assigned
- Dec 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 200701990 | NC | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 200701990 | NC | Primary |
Addresses
Primary practice location
110 Capcom Ave Ste 200
Wake Forest, NC 27587-6531
Mailing address
PO Box 945395
Atlanta, GA 30394-5395
Phone (888) 820-9533
Other practice location 1
4420 Lake Boone Trail
Critical Health Systems Office - Rex Hospital
Raleigh, NC 27607
Phone (919) 784-3402
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nshrimanker9187@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Anesthesiology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
101 SW Cary Pkwy
Suite 10
Cary, NC 27511-5562
Phone (919) 467-7678
5241 Six Forks Rd
Suite 100
Raleigh, NC 27609-4431
Phone (919) 785-3400
Hospital & facility affiliations
- Wakemed, Raleigh Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200701990 | NC | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleigh Neurosurgical Clinic, Inc. | Current | Accepting new patients | |
| Raleigh Neurosurgical Clinic, Inc. | Current | Accepting new patients | |
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
Locations
12610 N Community House Rd
Ste 200
Charlotte, NC 28277
Phone (704) 405-1747
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
5838 Six Forks Rd
Ste 100
Raleigh, NC 27609
4420 Lake Boone Trl
Ofc Rex
Raleigh, NC 27607
Phone (919) 784-3402
110 Capcom Ave
Ste 200
Wake Forest, NC 27587
Phone (919) 229-4046
Interoperability endpoints
- nevin.shrimanker@23033.chartlogic.direct-ci.com
- nshrimanker9187@direct.unc.nchie.net
- nshrimanker46123@directhisp.wakemed.org
Organizations & group practices 4
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.
-
- Neurological Surgery Physician
- Raleigh, NC
- NPI 1598702490
-
- Anesthesiology Physician
- Wilmington, NC
- NPI 1033412267
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
Anesthesiology
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Goldsboro, NC
- NPI 1801660212
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1972579837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1386828754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 945395",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303945395",
"telephone_number": "888-820-9533",
"fax_number": "919-873-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CAPCOM AVE STE 200",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876531",
"telephone_number": "919-229-4046"
}
],
"practiceLocations": [
{
"address_1": "4420 Lake Boone Trail",
"address_2": "Critical Health Systems Office - Rex Hospital",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "27607",
"country_code": "US",
"telephone_number": "919-784-3402",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHRIMANKER",
"first_name": "NEVIN",
"middle_name": "MAHENDRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-20",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "200701990",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NC",
"license": "200701990",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nshrimanker9187@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "4420 Lake Boone Trail",
"address_2": "Critical Health Systems Office - Rex Hospital",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "27607",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.