Active NPI
Paresh Shah, MD
- Vascular & Interventional Radiology Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 8152
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2167 | Medicaid | SC |
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
Enrollment records 1
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8152 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunil Malkani MD PA | Current | Accepting new patients | |
| Ocuflow Doppler LLC | Vascular & Interventional Radiology | Current | 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.
-
- Vascular & Interventional Radiology Physician
- Naples, FL
- NPI 1003302712
-
- Specialist
- Fort Myers, FL
- NPI 1013216076
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.