NPIMap

Organization Active NPI

Carolina Heart Specialists LLC

  • Cardiovascular Disease Physician
  • Lancaster, SC
National Provider Identifier
1881802841
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CAROLINA HEART SPECIALISTS LLC
Practice address
1029 W Meeting St
Lancaster, SC 29720-2205
Phone
(803) 285-2041
Fax
(803) 285-2097
NPI assigned
May 21, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Vipul B. Shah, MDNPI 1841246584
Title
President
Phone
(803) 285-2041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X SC Primary

Addresses

Primary practice location

1029 W Meeting St
Lancaster, SC 29720-2205

Mailing address

1029 W Meeting St
Lancaster, SC 29720-2205
Phone (803) 285-2041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070813000322 SC Part B Supplier - Clinic/Group Practice 0648361196 Receives reassigned benefits from 14 practitioners
Practice locations: Fort Mill, SC; Lancaster, SC; Rock Hill, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0915662Carolina Heart Specialists, LLC1029 W Meeting Street, Lancaster, SC 29720Certificate of waiverJun 3, 2028

National Provider Directory

National Provider Directory

Locations

1040 Edgewater Corporate Pkwy
Ste 102
Fort Mill, SC 29707
Phone (803) 285-2041

1029 W Meeting St
Lancaster, SC 29720
Phone (803) 285-2041

744 Arden Ln
Rock Hill, SC 29732
Phone (803) 366-8300

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881802841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 W MEETING ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202205",
            "telephone_number": "803-285-2041",
            "fax_number": "803-285-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 W MEETING ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202205",
            "telephone_number": "803-285-2041",
            "fax_number": "803-285-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HEART SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-285-2041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.