Ghanshyam Palamaner Subash Shantha, M.D., MPH
Individual provider Active NPI Clinical Cardiac Electrophysiology Physician · Greenville, NC
NPI 1942563176 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1942563176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Cardiac Electrophysiology Physician 207RC0001X
- License
- 2020-01238 (NC)
- Practice address
- 115 Heart Dr
Greenville, NC 27834-8982 - Phone
- (252) 744-4400
- Fax
- (252) 744-3987
- NPI assigned
- Jun 22, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 36
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- East Carolina University
Carteret Medical Group LLC
Vidant Medical Group LLC
Trinity Regional Medical Center
Carteret County General Hospital Corporation
Outer Banks Professional Services, LLC
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
- Ecu Health Medical Center
- Trinity Regional Medical Center
- Carteret General Hospital
- Vidant Duplin Hospital
- Vidant Chowan Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200715001178 | NC | Practitioner - Cardiovascular Disease (Cardiology) |
5395059745 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT200777 | PA | MD | Internal Medicine Physician |
| R-10168 | IA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current |
Accepting new patients | |
| East Carolina University | Internal Medicine | Current |
Accepting new patients |
| Carteret Medical Group LLC | Current |
Accepting new patients | |
| Carteret County General Hospital Corporation | Current |
Accepting new patients | |
| East Carolina University | Current | Accepting new patients | |
| Carolinaeast Physicians | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Carolinaeast Physicians | Current |
Accepting new patients | |
| Outer Banks Professional Services, LLC | Internal Medicine | Current |
Accepting new patients |
| East Carolina University | Past | Accepting new patients | |
| Trinity Regional Medical Center | Past | Accepting new patients | |
| Carolinaeast Physicians | Internal Medicine | 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) 535-1176
5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800
Interoperability endpoints
- gpalamanersubashshantha455996@direct.ecuhealth.com
- https://api.platform.athenahealth.com/15484/brand/1/csg/1/fhir/r4
- gpalamanersubashshantha307809@direct.unitypoint.org
- gpalamanersubashshantha2754776@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gpalamanersubashshantha455996@direct.ecuhealth.com | Health Information Exchange (HIE) |
Other providers in Greenville, NC
- Jamison Owens Padgett
- Maggie Lee Nelms Pafford
- Cory Michael Page
- Elizabeth Pagoota
- Simran Kaur Paintlia
- Alexander Palapatti Chandran
- Ashley Nicole Paldino
- Elizabeth F Paley
- Karen Palmer
- Palmetto Oxygen LLC
All providers in Greenville, NC · Clinical Cardiac Electrophysiology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.