ROSHAN SURESHCHANDRA SHAH MD
NPI 1003304940
Internal Medicine in Little River, SC

Q: What is Roshan Shah's NPI number?

The NPI number for Roshan Shah is 1003304940. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Q: What is Roshan Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Roshan Shah was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment

3980 HIGHWAY 9 E STE 340, LITTLE RIVER, SC 29566(843) 390-8302(843) 390-8315 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2025, Aug 10, 2021, Jul 28, 2021 and 2 more (5 updates tracked since 2018).

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About Roshan Sureshchandra Shah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSHAN SURESHCHANDRA SHAH MD (NPI 1003304940) is an individual internal medicine provider in Little River, South Carolina, licensed in South Carolina (94653) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003304940

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameROSHAN SURESHCHANDRA SHAHCredential: MD

Location Address3980 HIGHWAY 9 E STE 340Little River, SC 29566-8165

Mailing Address506 E Cheves St Ste 202Florence, SC 29506-2616 · (843) 390-8302 · Fax (843) 390-8315

Phone(843) 390-8302

Fax(843) 390-8315

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 26, 2018

Last NPPES UpdateAugust 11, 20255 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1003304940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in SC · 94653✔ Licensed in NJ · 25MA11088200

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3980 HIGHWAY 9 E STE 340, Little River, SC 29566

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roshan Sureshchandra Shah Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153726963

PECOS Enrollment IDI20250905000791

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420051

Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County

Emergency services Birthing friendly

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420085

Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County

Emergency services Birthing friendly

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420105

Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29566 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ABHIJIT MAHALINGASHETTY M.D.

Internal Medicine (Pulmonary Disease)