SHUSHAN ELAM CRNA
NPI 1548568355
Nurse Anesthetist, Certified Registered in Greenville, SC

Active since March 02, 2011
125 COMMONWEALTH DR, GREENVILLE, SC 29615(864) 675-4000 Get Directions Write a Review

NPPES record last updated: March 2, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shushan Elam Crna NPPES

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

SHUSHAN ELAM CRNA (NPI 1548568355) is an individual nurse anesthetist, certified registered in Greenville, South Carolina, licensed in South Carolina (204137) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1548568355
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSHUSHAN ELAMCredential: CRNA
Location Address125 COMMONWEALTH DRGreenville, SC 29615-4812
Mailing Address125 Commonwealth DrGreenville, SC 29615-4812
Sole ProprietorYes
Enumeration DateMarch 2, 2011
✔ NPI 1548568355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in SC · 204137
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
125 COMMONWEALTH DR, Greenville, SC 29615

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shushan Elam Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Shushan Elam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
125 COMMONWEALTH DR
Greenville, SC 29615
  • Reassigned Medicare billing, South Carolina enrollment
  • 191 clinicians in this Medicare group
Gastroenterology
200 PATEWOOD DR, SUITE B200
Greenville, SC 29615
  • Reassigned Medicare billing, South Carolina enrollment
  • 112 clinicians in this Medicare group
Anesthesiology
1 SAINT FRANCIS DR
Greenville, SC 29601
  • Reassigned Medicare billing, South Carolina enrollment
  • 123 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
125 COMMONWEALTH DR
GREENVILLE, SC 29615
Registered Nurse
125 COMMONWEALTH DR
GREENVILLE, SC 29615
Nurse Anesthetist, Certified Registered
125 COMMONWEALTH DR
GREENVILLE, SC 29615
Nurse Anesthetist, Certified Registered
125 COMMONWEALTH DR
GREENVILLE, SC 29615
Nurse Anesthetist, Certified Registered
125 COMMONWEALTH DR
GREENVILLE, SC 29615
Nurse Anesthetist, Certified Registered
125 COMMONWEALTH DR
GREENVILLE, SC 29615
Specialist/Technologist, Other (Surgical Assistant)
125 COMMONWEALTH DR
GREENVILLE, SC 29615
Physician Assistant
125 COMMONWEALTH DR
GREENVILLE, SC 29615

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 Shushan Elam's NPI number?

The NPI number for Shushan Elam is 1548568355. It was assigned to this individual provider in the NPPES registry on March 2, 2011.

Where is Shushan Elam located?

Shushan Elam practices at 125 Commonwealth Dr, Greenville, SC 29615. The listed phone number is (864) 675-4000.

What is Shushan Elam's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Shushan Elam enrolled in Medicare?

Yes. Shushan Elam is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shushan Elam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shushan Elam reassigns Medicare benefits to 3 organizations: St Francis Hospital Inc (Greenville, SC), Gastroenterology Associates, PA (Greenville, SC) and Palmetto Anesthesia Associates (Greenville, SC). Each 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 Shushan Elam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shushan Elam was last updated on March 2, 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.