Individual provider Active NPI

Ryan Corbin Zitzke, M.D.

  • Orthopaedic Surgery Physician
  • Sumter, SC
National Provider Identifier
1003074733
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
36740 Issued in SC
Practice address
100 N Sumter St
Medical Office Building 2, Suite 200
Sumter, SC 29150-4975
Phone
(803) 774-7621
Fax
(803) 774-1791
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 36740 SC Primary

Addresses

Primary practice location

100 N Sumter St
Medical Office Building 2, Suite 200
Sumter, SC 29150-4975

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320

Other identifiers 1

IdentifierTypeStateIssuer
367409MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141121002367 SC Practitioner - Orthopedic Surgery 6507188810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of South Carolina School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

100 N Sumter St
Suite 200
Sumter, SC 29150-4975
Phone (803) 774-7621

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement12
Knee replacement36
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands Orthopaedic Surgery Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Dec 1, 2018 Accepting new patients
Prisma Health Medical Group-Midlands Orthopaedic Surgery CurrentSince Dec 1, 2018 Accepting new patients

Locations

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

100 N Sumter St
Ste 200
Sumter, SC 29150
Phone (803) 774-7621

115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249

115 N Sumter St
Ste 400
Sumter, SC 29150
Phone (803) 774-7425

Interoperability endpoints

  • Direct secure messaging: rzitzke385624@direct.ghs.myhfn.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1003074733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N SUMTER ST",
            "address_2": "MEDICAL OFFICE BUILDING 2, SUITE 200",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504975",
            "telephone_number": "803-774-7621",
            "fax_number": "803-774-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITZKE",
        "first_name": "RYAN",
        "middle_name": "CORBIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "36740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367409",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.