NPIMap

Individual provider Active NPI

Gopi Y Shah, MD

  • Interventional Cardiology Physician
  • Columbia, SC
National Provider Identifier
1750380333
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
20171 Issued in SC
Practice address
8 Richland Medical Park Dr
Suite 300
Columbia, SC 29203-8005
Phone
(803) 256-6511
Fax
(803) 744-4731
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 20171 SC
Interventional Cardiology Physician 207RI0011X 20171 SC Primary

Addresses

Primary practice location

8 Richland Medical Park Dr
Suite 300
Columbia, SC 29203-8005

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320

Other practice location 1

2669 Kinard St
Newberry, SC 29108-2911
Phone (803) 256-6511

Other identifiers 2

IdentifierTypeStateIssuer
20171OtherSCSC LICENSE
201711MedicaidSC

Other names 1

  • Dr. Gopi Yogesh Shah Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031223000830 SC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082512322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Medical University of South Carolina College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

8 Richland Medical Park Dr
Suite 300
Columbia, SC 29203-8008
Phone (803) 256-6511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20171SCMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Dec 1, 2021 Accepting new patients
Prisma Health-Midlands Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Dec 1, 2021 Accepting new patients
Prisma Health-Midlands CurrentSince Jan 24, 2004 Accepting new patients
Prisma Health-Midlands CurrentSince Jan 24, 2004 Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Prisma Health Medical Group-Midlands Cardiovascular Disease Past Accepting new patients
Fairfield Memorial Hospital Past Accepting new patients

Locations

1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137

8 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 254-5038

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

8 Richland Medical Park Dr
Ste 200
Columbia, SC 29203

8 Richland Medical Park Dr
Ste 300
Columbia, SC 29203
Phone (803) 254-5038

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Interoperability endpoints

  • Direct secure messaging: gshah289186@direct.ghs.myhfn.org

Organizations & group practices 8

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 12

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1750380333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 RICHLAND MEDICAL PARK DR",
            "address_2": "SUITE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038005",
            "telephone_number": "803-256-6511",
            "fax_number": "803-744-4731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2669 Kinard St",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "SC",
            "postal_code": "291082911",
            "country_code": "US",
            "telephone_number": "803-256-6511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "GOPI",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "20171",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "20171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LICENSE",
            "identifier": "20171",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201711",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GOPI",
            "last_name": "SHAH",
            "middle_name": "YOGESH",
            "prefix": "DR.",
            "credential": "M. D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.