Active NPI
Orlin Sergev, M.D., PH.D.
- Endocrinology, Diabetes & Metabolism Physician
- Summerville, SC
National Provider Identifier
1003845207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- TL28953
- Practice address
- 622 Old Trolley Rd
Suite 102
Summerville, SC 29485-5674 - Phone
- (843) 871-7979
- Fax
- (843) 871-8282
- NPI assigned
- Jul 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | TL28953 | SC | Primary |
Addresses
Primary practice location
622 Old Trolley Rd
Suite 102
Summerville, SC 29485-5674
Mailing address
622 Old Trolley Rd
Suite 102
Summerville, SC 29485-5674
Phone (843) 871-7979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2276380 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- University of Wisconsin School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4340 Ladson Rd
Suite a
Ladson, SC 29456-6444
Phone (843) 871-7979
Hospital & facility affiliations
- Beaufort County Memorial Hospital
- Novant Health Hilton Head Medical Center
- Trident Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL28953 | SC | MD | Endocrinology, Diabetes & Metabolism Physician |
| 4301513549 | MI | MD | Diagnostic Radiology Physician |
Networks
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
Organizations & group practices 1
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.
-
- Specialist
- Summerville, SC
- NPI 1962658740
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
-
- General Acute Care Hospital
- Hilton Head Island, SC
- NPI 1902675101
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1003845207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 OLD TROLLEY RD",
"address_2": "SUITE 102",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294855674",
"telephone_number": "843-871-7979",
"fax_number": "843-871-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 OLD TROLLEY RD",
"address_2": "SUITE 102",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294855674",
"telephone_number": "843-871-7979",
"fax_number": "843-871-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERGEV",
"first_name": "ORLIN",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "SC",
"license": "TL28953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2276380",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.