Individual provider Active NPI

Tejaskumar M Shah

  • Interventional Cardiology Physician
  • Rock Hill, SC
National Provider Identifier
1871721076
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
40478 Issued in SC
Practice address
196 Cardiology Dr
Rock Hill, SC 29732-1174
Phone
(803) 324-5135
Fax
(803) 324-8161
NPI assigned
Jun 25, 2009
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 MD40478 SC
Interventional Cardiology Physician 207RI0011X 40478 SC Primary

Addresses

Primary practice location

196 Cardiology Dr
Rock Hill, SC 29732-1174

Mailing address

196 Cardiology Dr
Rock Hill, SC 29732-1174
Phone (803) 324-5135

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170712003741 SC Practitioner - Cardiovascular Disease (Cardiology) 4587933106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Cardiology Associates LLCGroup PAC ID 3577451756, 16 clinicians

Practice addresses (Care Compare)

196 Cardiology Dr
Rock Hill, SC 29732-1174
Phone (803) 324-5135

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
79.31
Promoting interoperability
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting22
Varicose vein removal27
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD40478SCMDCardiovascular Disease Physician
40478SCMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Cardiology Associates LLC Cardiovascular Disease CurrentSince Jul 1, 2017 Accepting new patients

Locations

196 Cardiology Dr
Rock Hill, SC 29732
Phone (803) 324-5135

Interoperability endpoints

  • Direct secure messaging: tejaskumar.shah.p1@direct.cca.nextgenshare.com
  • Direct secure messaging: tshah260177@direct.musc.edu

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1871721076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 CARDIOLOGY DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321174",
            "telephone_number": "803-324-5135",
            "fax_number": "803-324-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 CARDIOLOGY DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321174",
            "telephone_number": "803-324-5135",
            "fax_number": "803-324-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TEJASKUMAR",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "MD40478",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "40478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.