Individual provider Active NPI

Paresh Shah, MD

  • Vascular & Interventional Radiology Physician
  • Columbia, SC
National Provider Identifier
1700998648
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
8152 Issued in SC
Practice address
3 Richland Medical Park Dr
Columbia, SC 29203-6849
Phone
(803) 434-6301
Fax
(803) 936-0003
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 8152 SC Primary

Addresses

Primary practice location

3 Richland Medical Park Dr
Columbia, SC 29203-6849

Mailing address

PO Box 11400
Columbia, SC 29211
Phone (803) 434-6301

Other identifiers 1

IdentifierTypeStateIssuer
GP2167MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171107001582 FL Practitioner - Interventional Radiology 2365542727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1855 Veterans Park Dr
Suite 302
Naples, FL 34109-0446
Phone (239) 324-4888

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8152SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunil Malkani MD PA CurrentSince Sep 1, 2017 Accepting new patients
Ocuflow Doppler LLC Vascular & Interventional Radiology CurrentSince Sep 19, 2018 Accepting new patients

Locations

9201 Cypress Lake Dr
Fort Myers, FL 33919
Phone (239) 324-4888

1855 Veterans Park Dr
Naples, FL 34109
Phone (239) 254-8134

1855 Veterans Park Dr
Ste 302
Naples, FL 34109
Phone (239) 324-4888

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700998648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11400",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29211",
            "telephone_number": "803-434-6301",
            "fax_number": "803-936-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RICHLAND MEDICAL PARK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036849",
            "telephone_number": "803-434-6301",
            "fax_number": "803-936-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PARESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "SC",
            "license": "8152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2167",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.