Active NPI
Shahla Eslamzadeh, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 169902
- Practice address
- 1000 Blythe Blvd
Charlotte, NC 28203-5812 - Phone
- (704) 355-8983
- Fax
- (704) 355-8994
- NPI assigned
- Jun 6, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 169902 | NC | Primary |
Addresses
Primary practice location
1000 Blythe Blvd
Charlotte, NC 28203-5812
Mailing address
PO Box 32861
Anesthesia Services - 5TH Floor Surgery Tower
Charlotte, NC 28232-2861
Phone (704) 355-8983
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8053387 | Medicaid | NC | |
| NAN869 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 W Meeting St
Lancaster, SC 29720-2202
Phone (803) 286-1330
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Carolina Family Care, Inc | Current | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214
1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175
Organizations & group practices 5
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
- Bamberg, SC
- NPI 1841878006
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Family Medicine Physician
- Charleston, SC
- NPI 1184655722
-
- Internal Medicine Physician
- Lancaster, SC
- NPI 1275564098
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1487813184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32861",
"address_2": "ANESTHESIA SERVICES - 5TH FLOOR SURGERY TOWER",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282322861",
"telephone_number": "704-355-8983",
"fax_number": "704-355-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035812",
"telephone_number": "704-355-8983",
"fax_number": "704-355-8994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESLAMZADEH",
"first_name": "SHAHLA",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "169902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8053387",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN869",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.