Individual provider Active NPI

Orlin Sergev, M.D., PH.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Summerville, SC
National Provider Identifier
1003845207
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
TL28953 Issued in SC
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2276380MedicaidOH

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
I20070108000405 SC Practitioner - Endocrinology 5890795223 Reassigns benefits to 1 organization

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
Equilibrium Endocrinology, PAGroup PAC ID 2163580036, 3 clinicians

Practice addresses (Care Compare)

4340 Ladson Rd
Suite a
Ladson, SC 29456-6444
Phone (843) 871-7979

Hospital & facility affiliations

  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
  • Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TL28953SCMDEndocrinology, Diabetes & Metabolism Physician
4301513549MIMDDiagnostic 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.