Individual provider Active NPI

Jay Naresh Shah, MD

  • Orthopaedic Surgery Physician
  • Anderson, SC
National Provider Identifier
1497989164
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
81899 Issued in SC
Practice address
100 Healthy Way Ste 1200
Anderson, SC 29621-7916
Phone
(864) 716-6140
Fax
(864) 716-6149
NPI assigned
May 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 47985 KY
Orthopaedic Surgery Physician 207X00000X R2094 KY
Orthopaedic Surgery Physician 207X00000X 81899 SC Primary

Addresses

Primary practice location

100 Healthy Way Ste 1200
Anderson, SC 29621-7916

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (864) 716-6140

Other practice location 1

160 London Mountain View Dr
London, KY 40741-6601
Phone (606) 864-0770

Other identifiers 2

IdentifierTypeStateIssuer
7100160850MedicaidKY
818994MedicaidSC

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
I20191016002716 SC Practitioner - Orthopedic Surgery 6709007453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Kentucky College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, shared by 12 NPIs, 348 clinicians

Practice addresses (Care Compare)

100 Healthy Way
Suite 1200
Anderson, SC 29621-7916
Phone (864) 716-6140

800 N Fant St
Anderson, SC 29621-5708
Phone (864) 512-3076

Hospital & facility affiliations

  • Anmed Health Hospital, Anderson, SC, CCN 420027

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)18
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47985KYMDOrthopaedic Surgery Physician
R2094KYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Sep 1, 2019 Accepting new patients
Anmed Health CurrentSince Aug 1, 2020 Accepting new patients
Anmed Health CurrentSince Sep 1, 2019 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Past Accepting new patients

Locations

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

100 Healthy Way
Ste 1200
Anderson, SC 29621
Phone (864) 260-9910

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

Interoperability endpoints

  • Direct secure messaging: jshaw37033@direct.anmedhealth.net

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.

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": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1497989164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100174",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023174",
            "telephone_number": "864-716-6140",
            "fax_number": "864-716-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY STE 1200",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217916",
            "telephone_number": "864-716-6140",
            "fax_number": "864-716-6149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 London Mountain View Dr",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407416601",
            "country_code": "US",
            "telephone_number": "606-864-0770",
            "fax_number": "606-864-1461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JAY",
        "middle_name": "NARESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-11",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "47985",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "R2094",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "81899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100160850",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "818994",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.