Tarak Shah, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

0000000 Issued in SC

Practice address

203 Mills Ave
Greenville, SC 29605-4019

Phone

(864) 271-1844

Fax

(864) 271-2147

NPI assigned

Apr 2, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nephrology

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Carolina Nephrology PAGroup PAC ID 2961467733, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USRC Electric City LLC Dialysis facility, Anderson, SC, CCN 422690
• DaVita Upstate Dialysis Center Dialysis facility, Greenville, SC, CCN 422540
• St Francis-Downtown Hospital, Greenville, SC, CCN 420023
• Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078
• Prisma Health Baptist Easley Hospital Hospital, Easley, SC, CCN 420015
• Prisma Health Oconee Memorial Hospital Hospital, Seneca, SC, CCN 420009
• Anmed Health Hospital, Anderson, SC, CCN 420027
• Prisma Health North Greenville Ltach Long-term care hospital, Travelers Rest, SC, CCN 422008

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tshah267772@direct.ghs.myhfn.org

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.

• Carolina Nephrology PA

  • Nephrology Physician
  • Greenville, SC
  • NPI 1679557516
  Medicare reassignment Care Compare group NPD
• Carolina ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Greenville, SC
  • NPI 1487400636
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Greenville, SC
  • NPI 1043272065

  Dialysis facility

  Care Compare affiliation Name & address match
• Usrc Electric City LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Anderson, SC
  • NPI 1679375067

  Dialysis facility

  Care Compare affiliation Name & address match
• Anmed Health

  • General Acute Care Hospital
  • Anderson, SC
  • NPI 1417919531
  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Seneca, SC
  • NPI 1063968196
  Care Compare affiliation
• Prisma Health-Upstate

  • Medically Fragile Infants and Children Day Care
  • Greenville, SC
  • NPI 1093168064

  Hospital

  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1114473212
  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1174079271
  Care Compare affiliation
• Prisma Health-Upstate

  • Radiology Clinic/Center
  • Greenville, SC
  • NPI 1235685330

  Hospital

  Care Compare affiliation
• Prisma Health-Upstate

  • Sleep Disorder Diagnostic Clinic/Center
  • Greenville, SC
  • NPI 1275086431

  Hospital

  Care Compare affiliation
• Prisma Health-Upstate

  • Multi-Specialty Clinic/Center
  • Greenville, SC
  • NPI 1285180307

  Hospital

  Care Compare affiliation
• Prisma Health-Upstate

  • Clinic/Center
  • Greenville, SC
  • NPI 1316492218

  Hospital

  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1326884982
  Care Compare affiliation

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1841618329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MILLS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054019",
            "telephone_number": "864-271-1844",
            "fax_number": "864-271-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 MILLS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054019",
            "telephone_number": "864-271-1844",
            "fax_number": "864-271-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TARAK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "83074",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "0000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "carolinanephrology.com",
            "affiliation": "N",
            "address_1": "203 Mills Ave",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tshah@carolinanephrology.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "203 Mills Ave",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Misty A Shah, MD
• Pavani Thotakura Shah, M.D.
• Ritesh Rajnikiant Shah, M.D.
• Sachin Shah, MD
• Supriya A Shah, MD
• Urja Shah, DO
• Sarah Shahawy, MD
• Laurel Shaler, PHD, LISW-CP, LCSW
• David Lee Shallcross, MD
• Manisha Chandrakant Shanbhag, MD

• Nephrology Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Nephrology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.

Verify at the official NPI Registry.