SUPRIYA A SHAH MD
NPI 1689168460
Student in an Organized Health Care Education/Training Program in Greenville, SC
About Supriya A Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUPRIYA A SHAH MD (NPI 1689168460) is an individual student in an organized health care education/training program in Greenville, South Carolina, licensed in South Carolina (LL52600) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Supriya A Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
GREENVILLE, SC 29605
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 Supriya Shah's NPI number?
The NPI number for Supriya Shah is 1689168460. It was assigned to this individual provider in the NPPES registry on June 15, 2018.
Where is Supriya Shah located?
Supriya Shah practices at 877 W Faris Rd, Greenville, SC 29605. The listed phone number is (864) 455-9022.
What is Supriya Shah's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Supriya Shah enrolled in Medicare?
Yes. Supriya Shah is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Supriya Shah was last updated on June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Supriya A Shah, MD · NPI 1689168460
Student in an Organized Health Care Education/Training Program provider in Greenville, South Carolina. Individual provider, active in the CMS NPPES registry since June 15, 2018.
## Identity
- **NPI:** 1689168460 (Entity type: Individual)
- **Enumerated:** June 15, 2018
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** LL52600 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 877 W FARIS RD, Greenville, SC 29605-4289
- **Phone:** (864) 455-9022
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** June 15, 2018
- **Other identifiers:** Other LL52600 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1689168460) · Data from the CMS NPPES public registry.