Individual provider Active NPI

Ghanshyam Palamaner Subash Shantha, M.D., MPH

  • Clinical Cardiac Electrophysiology Physician
  • Greenville, NC
National Provider Identifier
1942563176
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
2020-01238 Issued in NC
Practice address
115 Heart Dr
Greenville, NC 27834-8982
Phone
(252) 744-4400
Fax
(252) 744-3987
NPI assigned
Jun 22, 2012
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT200777 PA
Cardiovascular Disease Physician 207RC0000X R-10168 IA
Cardiovascular Disease Physician 207RC0000X 2020-01238 NC
Clinical Cardiac Electrophysiology Physician 207RC0001X 2020-01238 NC Primary

Addresses

Primary practice location

115 Heart Dr
Greenville, NC 27834-8982

Mailing address

PO Box 751069
Charlotte, NC 28275-1069

Other practice location 1

Medical Center Blvd
Winston Salem, NC 27157-1009
Phone (336) 716-2255

Other practice location 2

200 Hawkins Dr
Department of Internal Medicine
Iowa City, IA 52242-1009
Phone (319) 359-0192

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gpalamanersubashshantha455996@direct.ecuhealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200715001178 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac ElectrophysiologyPractitioner - Interventional Cardiology 5395059745 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Carolina UniversityGroup PAC ID 0244143246, 499 clinicians
Carteret Medical Group LLCGroup PAC ID 5698947794, 65 clinicians
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

115 Heart Dr
Greenville, NC 27834-8982
Phone (252) 744-4400

1165 Cedar Point Blvd
Cedar Point, NC 28584-1030

220 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 537-9268

3005 Westview Dr
Greenville, NC 27834-6203
Phone (515) 206-7270

3500 Arendell St
Morehead City, NC 28557-2901
Phone (252) 247-2013

4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone (252) 449-4500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT200777PAMDInternal Medicine Physician
R-10168IAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University Internal Medicine CurrentSince Feb 9, 2024 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Vidant Medical Group LLC CurrentSince Apr 17, 2024 Accepting new patients
Carolinaeast Physicians CurrentSince Feb 1, 2026 Accepting new patients
Carteret Medical Group LLC CurrentSince Jul 29, 2025 Accepting new patients
Carteret County General Hospital Corporation CurrentSince Jul 29, 2025 Accepting new patients
Carolinaeast Physicians CurrentSince Feb 1, 2026 Accepting new patients
Outer Banks Professional Services, LLC Internal Medicine CurrentSince May 1, 2025 Accepting new patients
East Carolina University Current Accepting new patients
Carolinaeast Physicians Internal Medicine Past Accepting new patients
East Carolina University Past Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

1165 Cedar Point Blvd
Ste H
Cedar Point, NC 28584
Phone (252) 499-6850

115 Heart Dr
Greenville, NC 27834
Phone (252) 744-4400

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

220 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 537-6619

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

Interoperability endpoints

  • Direct secure messaging: gpalamanersubashshantha2754776@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: gpalamanersubashshantha307809@direct.unitypoint.org
  • Direct secure messaging: gpalamanersubashshantha455996@direct.ecuhealth.com
  • FHIR API: https://api.platform.athenahealth.com/15484/brand/1/csg/1/fhir/r4

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1942563176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751069",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HEART DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278348982",
            "telephone_number": "252-744-4400",
            "fax_number": "252-744-3987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271571009",
            "country_code": "US",
            "telephone_number": "336-716-2255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawkins Dr",
            "address_2": "Department of Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-359-0192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALAMANER SUBASH SHANTHA",
        "first_name": "GHANSHYAM",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT200777",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "R-10168",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2020-01238",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NC",
            "license": "2020-01238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gpalamanersubashshantha455996@direct.ecuhealth.com",
            "affiliation": "N",
            "endpointDescription": "ECU Physicians",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "115 Heart Dr",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278348982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.