RUPA SHETTY LLC
NPI 1205137817
Psychiatry & Neurology - Child & Adolescent Psychiatry in Myrtle Beach, SC

Q: What is Rupa Shetty LLC's NPI number?

The NPI number for Rupa Shetty LLC is 1205137817. It was assigned to this organization in the NPPES registry on November 12, 2010.

Q: What is Rupa Shetty LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Rupa Shetty LLC was last updated on August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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 November 12, 2010

237 AVENUE OF THE PALMS, MYRTLE BEACH, SC 29579(843) 461-6133(843) 234-6100 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Rupa Shetty Llc NPPES

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

RUPA SHETTY LLC (NPI 1205137817) is a healthcare organization registered as a child & adolescent psychiatry in Myrtle Beach, South Carolina and active in the NPI registry since November 2010. The organization lists Thomas L Ryba, Member, as its authorized official.

NPPES Registry Identity

NPI1205137817

Entity TypeOrganization

Primary Taxonomy2084P0804X

Legal Business NameRUPA SHETTY LLC

Location Address237 AVENUE OF THE PALMSMyrtle Beach, SC 29579-1247

Mailing Address237 Avenue Of The PalmsMyrtle Beach, SC 29579-1247 · (843) 461-6133 · Fax (843) 234-6100

Phone(843) 461-6133

Fax(843) 234-6100

Organization SubpartNo

Authorized OfficialThomas L RybaMember · (843) 461-6133

Enumeration DateNovember 12, 2010

Last NPPES UpdateAugust 9, 2011

✔ NPI 1205137817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in SC · 27604

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

237 AVENUE OF THE PALMS, Myrtle Beach, SC 29579

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Other Identifiers 1

Other3344SC · Waccamaw Center For Mental Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rupa Shetty Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rupa Shetty LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rupa Shetty, M.D.

Psychiatry

NPI 1962428235

237 AVENUE OF THE PALMS
Myrtle Beach, SC 29579

(843) 461-6133

✔ PECOS✔ Accepts Medicare0.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rupa Shetty LLC's NPI number?

The NPI number for Rupa Shetty LLC is 1205137817. It was assigned to this organization in the NPPES registry on November 12, 2010.

Where is Rupa Shetty LLC located?

Rupa Shetty LLC is located at 237 Avenue Of The Palms, Myrtle Beach, SC 29579. The listed phone number is (843) 461-6133.

What is Rupa Shetty LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Rupa Shetty LLC enrolled in Medicare?

Yes. Rupa Shetty LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rupa Shetty LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Rupa Shetty LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Rupa Shetty LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Rupa Shetty LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rupa Shetty LLC was last updated on August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.