DR. NEEL NITIN SHAH MD NPI 1861752529
Psychiatry & Neurology - Vascular Neurology in Greer, SC
About DR. NEEL NITIN SHAH MD
Neel Shah is a provider established in Greer, South Carolina and his medical specialization is Psychiatry & Neurology with a focus in vascular neurology with more than 11 years of experience. He graduated from Medical College Of Georgia School Of Medicine in 2012. The NPI number of this provider is 1861752529 and was assigned on May 2012. The practitioner's primary taxonomy code is 2084V0102X with license number 40680 (SC). The provider is registered as an individual and his NPI record was last updated 2 years ago.
| NPI | 1861752529 |
| Provider Name | DR. NEEL NITIN SHAH MD |
| Location Address | 109 PHYSICIANS DR STE C GREER, SC 29650 |
| Location Phone | (864) 797-8800 |
| Mailing Address | 300 E MCBEE AVE FL 4 GREENVILLE, SC 29601 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Is Sole Proprietor? | No |
| Enumeration Date | 05-29-2012 |
| Last Update Date | 06-08-2021 |
Neel Shah is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Neel Shah is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Prisma Health Greer Memorial Hospital and Prisma Health Greenville Memorial Hospital.
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.11 for a new patient copayment and $24.79 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 2084V0102X |
| Classification | Psychiatry & Neurology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Vascular Neurology |
| License No. | 40680 |
| License State | SC |
| Taxonomy Description | Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
109 PHYSICIANS DR STE C
GREER, SC
ZIP 29650
Phone: (864) 797-8800
Fax: (864) 797-8805
Mailing Address
300 E MCBEE AVE FL 4
GREENVILLE, SC
ZIP 29601
Phone: (864) 522-8603
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 8921223298 |
| PECOS Enrollment ID | I20170814000007 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 29650 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $55.43 | $169.76 | $128.46 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $13.85 | $42.44 | $32.11 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.06 | $138.69 | $99.16 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.26 | $34.67 | $24.79 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Neel Shah is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | 830 SOUTH BUNCOMBE ROAD GREER, SC 29650 | (864) 848-8200 | Acute Care Hospitals | 420033 | |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | 701 GROVE ROAD GREENVILLE, SC 29605 | (864) 455-7000 | Acute Care Hospitals | 420078 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | Q7470 | TX | No |
Taxonomy Description: a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 406803 | MEDICAID (05) | SC |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 6 | 1 | 7 | 5 | 2 | 5 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 12 | 1 | 14 | 5 | 4 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 2 + 1 + 1 + 4 + 5 + 4 + 5 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1861752529 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790365245 | ANUSHA BATTINENI Individual | Student in an Organized Health Care Education/Training Program | 109 PHYSICIANS DR STE C GREER, SC 29650 (864) 797-8856 |
| 1619557154 | BERNICE ANDERSON Individual | Student in an Organized Health Care Education/Training Program | 109 PHYSICIANS DR STE C GREER, SC 29650 (864) 797-8856 |
| 1851971303 | ESHA KATARIA Individual | Student in an Organized Health Care Education/Training Program | 109 PHYSICIANS DR STE C GREER, SC 29650 (864) 797-8856 |
| 1396325841 | SAMANTHA SCOVILLE Individual | Student in an Organized Health Care Education/Training Program | 109 PHYSICIANS DR STE C GREER, SC 29650 (864) 797-8856 |
| 1417537960 | CYNTHIA DE LA ROSA ZAPATA Individual | Student in an Organized Health Care Education/Training Program | 109 PHYSICIANS DR STE C GREER, SC 29650 (864) 797-8856 |
| 1003002841 | SAHER KARIM CHOUDHARY M.D. Individual | Psychiatry & Neurology (Neurology) | 109 PHYSICIANS DR STE C GREER, SC 29650 (864) 797-8800 |
| 1639458805 | SANJEEV SIVAKUMAR M.D., Individual | Psychiatry & Neurology (Neurocritical Care) | 109 PHYSICIANS DR STE C GREER, SC 29650 (864) 797-8800 |
| 1548675762 | MARISHA BROWNING TRELINSKI FNP Individual | Nurse Practitioner (Family) | 109 PHYSICIANS DR STE C GREER, SC 29650 (864) 797-8800 |
| 1760062210 | MATTHEW WILKINS Individual | Psychiatry & Neurology (Neurology) | 109 PHYSICIANS DR STE C GREER, SC 29650 (864) 797-8856 |
Frequently Asked Questions
What is Dr. Neel Shah MD NPI number?
The NPI number assigned to this healthcare provider is 1861752529, registered as an "individual" on May 29, 2012
Where is Dr. Neel Shah MD located?
The provider is located at 109 Physicians Dr Ste C Greer, Sc 29650 and the phone number is (864) 797-8800
Which is Dr. Neel Shah MD specialty?
The provider's speciality is Psychiatry & Neurology with a focus in Vascular Neurology
How many years of experience does Dr. Neel Shah MD have?
The provider has more than 11 years of experience. He graduated from Medical College Of Georgia School Of Medicine in 2012.
What insurance does Dr. Neel Shah MD accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Neel Shah MD registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. Neel Shah MD?
Medicare beneficiaries should expect a typical cost of $128.46 with an average copayment of $32.11 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
Is Dr. Neel Shah MD affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: PRISMA HEALTH GREER MEMORIAL HOSPITAL and PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Dr. Neel Shah MD was last updated on May 29, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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