Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shanu Nikhil Kothari, MD

Individual provider Surgery Physician · NPI 1063418366

Shanu Nikhil Kothari, MD is a General Surgery in Greenville, South Carolina. Qualified in 1995, 31 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina and Wisconsin.

Years since qualifying
31
Licensed in
SC, WI
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

905 Verdae Blvd Ste 202
Greenville, SC 29607-4029
Phone: (864) 676-1072
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 Epting Ave, Greenwood, SC 29646-4091 — (864) 227-8932

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 83043 (SC)
Surgery Physician Taxonomy 208600000X · Licence 38040 (WI)

Record details

NPI number1063418366
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Greenville