SHIVESH KUMAR VERMA M.D.
NPI 1609238708
Family Medicine in Mint Hill, NC

Q: What is Shivesh Verma's NPI number?

The NPI number for Shivesh Verma is 1609238708. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Q: What is Shivesh Verma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shivesh Verma was last updated on June 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment

11300 CRESTHILL DR STE 100, MINT HILL, NC 28227(980) 302-3550(980) 302-3551 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2026, Apr 16, 2026, Apr 5, 2026 and 4 more (7 updates tracked since 2016).

On this page

About Shivesh Kumar Verma M.d. NPPES

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

SHIVESH KUMAR VERMA M.D. (NPI 1609238708) is an individual family medicine provider in Mint Hill, North Carolina, licensed in North Carolina (2026-01772) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Highline Medical Center, and is a graduate of Eastern Virginia Medical School (2016).

NPPES Registry Identity

NPI1609238708

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSHIVESH KUMAR VERMACredential: M.D.

Location Address11300 CRESTHILL DR STE 100Mint Hill, NC 28227-7992

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (980) 302-3550 · Fax (980) 302-3551

Phone(980) 302-3550

Fax(980) 302-3551

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 2016

Enumeration DateMarch 28, 2016

Last NPPES UpdateJune 11, 20267 updates tracked since enumeration

NPPES CertifiedJune 11, 2026

✔ NPI 1609238708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NC · 2026-01772✔ Licensed in WA · MD60984958

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11300 CRESTHILL DR STE 100, Mint Hill, NC 28227

Open in Google Maps ↗

Other Identifiers 1

Medicaid2141702WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Shivesh Kumar Verma M.d. 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 ID4981991528

PECOS Enrollment IDI20201217001263, I20260415000925

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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

172 services92 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

45 services45 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services25 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

25 services17 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

24 services22 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Highline Medical Center

Acute Care Hospitals · Burien, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500011

Location16251 Sylvester Road SWBurien, WA 98166 · King County

Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500108

Location1717 South J StreetTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28227 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Leave this field empty

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.

MICHELE TRANG THI HO M.D.

Internal Medicine