Individual provider Active NPI

Lahari Shetty, MD

  • Obstetrics & Gynecology Physician
  • Columbia, SC
National Provider Identifier
1790276509
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
LL52441 Issued in SC
Practice address
Women'S Center
1801 Sunset Drive
Columbia, SC 29203
Phone
(803) 434-4127
Fax
(803) 434-4155
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X LL52441 SC Primary

Addresses

Primary practice location

Women'S Center
1801 Sunset Drive
Columbia, SC 29203

Mailing address

Women'S Center
1801 Sunset Drive
Columbia, SC 29203
Phone (803) 434-4127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20221130003346 NY Practitioner - Obstetrics/Gynecology 2264778562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mayer J Saad MD PCGroup PAC ID 2769629914, 44 clinicians

Practice addresses (Care Compare)

372 Post Ave
Suite 106
Westbury, NY 11590-2201
Phone (516) 333-1444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL52441SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayer J. Saad MD P.C. CurrentSince Oct 1, 2022 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients

Locations

10933 71st Rd
Ste 2G
Forest Hills, NY 11375
Phone (718) 263-1963

7309 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7270

7309 Myrtle Ave
Fl 2
Glendale, NY 11385

8212 151st Ave
Jamaica, NY 11414
Phone (718) 843-6300

2950 Hempstead Tpke
Levittown, NY 11756
Phone (516) 520-3800

158 Hempstead Ave
Lynbrook, NY 11563
Phone (516) 593-3541

514 Ocean Ave
Massapequa, NY 11758
Phone (516) 799-2554

372 Post Ave
Ste 106
Westbury, NY 11590
Phone (516) 333-1444

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: lshetty@mjsmpdtwhp-ny.direct.office.nextgen.com

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1790276509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WOMEN'S CENTER",
            "address_2": "1801 SUNSET DRIVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-4127",
            "fax_number": "803-434-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WOMEN'S CENTER",
            "address_2": "1801 SUNSET DRIVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-4127",
            "fax_number": "803-434-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "LAHARI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "LL52441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.