Active NPI
Jay Naresh Shah, MD
- Orthopaedic Surgery Physician
- Anderson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 81899
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100160850 | Medicaid | KY | |
| 818994 | Medicaid | SC |
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
Enrollment records 1
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 Health
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 18 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47985 | KY | MD | Orthopaedic Surgery Physician |
| R2094 | KY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Current | 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
- 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.
-
- Family Medicine Physician
- Anderson, SC
- NPI 1639102270
-
- Emergency Medicine Physician
- Anderson, SC
- NPI 1710918321
-
- Family Medicine Physician
- Piedmont, SC
- NPI 1255137832
-
- Obstetrics & Gynecology Physician
- Anderson, SC
- NPI 1487717468
-
- Gastroenterology Physician
- Anderson, SC
- NPI 1861761090
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anderson, SC
- NPI 1417919531
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.