Individual provider Active NPI

Shiva Poola, MD

  • Gastroenterology Physician
  • Concord, NC
National Provider Identifier
1437543642
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
228515 Issued in NC
Practice address
1070 Vinehaven Dr NE
Concord, NC 28025-2438
Phone
(704) 783-1840
NPI assigned
Mar 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 228515 NC Primary
Gastroenterology Physician 207RG0100X 1018174 MA

Addresses

Primary practice location

1070 Vinehaven Dr NE
Concord, NC 28025-2438

Mailing address

1070 Vinehaven Dr NE
Concord, NC 28025-2438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240518000118 MA Practitioner - GastroenterologyPractitioner - Internal Medicine 6305153776
I20250117001478 NC Practitioner - Internal MedicinePractitioner - Gastroenterology 6305153776 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1070 Vinehaven Dr NE
Concord, NC 28025-2438
Phone (704) 783-1840

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy26
Upper gastrointestinal (GI) endoscopy for acid reflux47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1018174MAMDGastroenterology Physician
228515NCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cabarrus Gastroenterology Associates, PLLC Gastroenterology CurrentSince Mar 1, 2025 Accepting new patients
Cabarrus Gastroenterology Associates, PLLC Gastroenterology CurrentSince Mar 1, 2025 Accepting new patients
Novant Health Rowan Endoscopy Center, LLC CurrentSince Mar 10, 2026 Accepting new patients
Cabarrus Gastroenterology Associates, PLLC Gastroenterology Past Accepting new patients
Cabarrus Gastroenterology Associates, PLLC Past Accepting new patients
Novant Health Rowan Medical Center LLC Past Accepting new patients
Cabarrus Gastroenterology Associates, PLLC Past Accepting new patients

Locations

1070 Vinehaven Dr NE
Concord, NC 28025
Phone (704) 783-1840

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

9965 Poplar Tent Rd
Concord, NC 28027
Phone (704) 783-1840

510 Corporate Cir
#1001
Salisbury, NC 28147
Phone (704) 783-1840

510 Corporate Cir
#1000
Salisbury, NC 28147
Phone (704) 783-1840

Interoperability endpoints

  • Direct secure messaging: spoola3023995@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

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 3

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": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1437543642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 VINEHAVEN DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 VINEHAVEN DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252438",
            "telephone_number": "704-783-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLA",
        "first_name": "SHIVA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-25",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "228515",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "1018174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.