Individual provider Active NPI

Katherine R Shew, M.D.

  • Dermatology Physician
  • Anderson, SC
National Provider Identifier
1902029382
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2007-00440 Issued in NC
Practice address
1501 N Main St
Anderson, SC 29621-4734
Phone
(864) 716-0063
Fax
(864) 716-0073
NPI assigned
Apr 11, 2007
Last updated
Jan 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2007-00440 NC Primary

Addresses

Primary practice location

1501 N Main St
Anderson, SC 29621-4734

Mailing address

1501 N Main St
Anderson, SC 29621-4734
Phone (864) 716-0063

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
I20100309000331 SC Practitioner - Dermatology 6800996307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Dermatology and Skin Surgery CenterGroup PAC ID 0244143964, 5 clinicians

Practice addresses (Care Compare)

1501 N Main St
Anderson, SC 29621-4734
Phone 8647160063864

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.68 of 100Reported as individual
Quality
89.37
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision417
Removal of skin lesions3069
Removal or shaving of skin growth314
Skin biopsy781

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007-00440NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Dermatology and Skin Surgery Center Dermatology CurrentSince Mar 27, 2010 Accepting new patients
Anderson Dermatology and Skin Surgery Center Dermatology PastSince Mar 27, 2010 Accepting new patients

Locations

1501 N Main St
Anderson, SC 29621
Phone (864) 367-4544

101 Richard St
Easley, SC 29640
Phone (864) 442-8000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/14194f57-1cf1-4d77-801e-4659b5b99d4c/

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, 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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1902029382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N MAIN ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214734",
            "telephone_number": "864-716-0063",
            "fax_number": "864-716-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N MAIN ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214734",
            "telephone_number": "864-716-0063",
            "fax_number": "864-716-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEW",
        "first_name": "KATHERINE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2007-00440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.