Active NPI
Kamran Zargham Koranloo, M.D.
- Pain Medicine (Anesthesiology) Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 23150
- Practice address
- 1821 Clemson Rd
Columbia, SC 29229-7832 - Phone
- (803) 788-5916
- NPI assigned
- Aug 21, 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 23150 | SC | Primary |
Addresses
Primary practice location
1821 Clemson Rd
Columbia, SC 29229-7832
Mailing address
115 Atrium Way
Ste 235
Columbia, SC 29223
Phone (803) 788-5916
Other practice location 1
146 N Hospital Dr Ste 120
West Columbia, SC 29169-4800
Phone (803) 935-8410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231500 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1821 Clemson Rd
Columbia, SC 29229-7832
Phone (803) 788-5916
Hospital & facility affiliations
- Pruitthealth Home Health-Columbia
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Mobile Diagnostics, LLC | Pain Medicine | Past | Accepting new patients |
Locations
14 Richland Medical Park Dr
Ste 200
Columbia, SC 29203
Phone (803) 296-9200
3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Pain Medicine (Anesthesiology) Physician
- Columbia, SC
- NPI 1326430208
-
- Orthopaedic Surgery Physician
- Columbia, SC
- NPI 1346761897
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
- Pain Medicine (Anesthesiology) Physician
- Sumter, SC
- NPI 1487624862
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Columbia, SC
- NPI 1033533344
-
- Home Health Agency
- Rock Hill, SC
- NPI 1295260339
-
- Home Health Agency
- Greenville, SC
- NPI 1689199481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1013022516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ATRIUM WAY",
"address_2": "STE 235",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29223",
"telephone_number": "803-788-5916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 CLEMSON RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292297832",
"telephone_number": "803-788-5916"
}
],
"practiceLocations": [
{
"address_1": "146 N Hospital Dr Ste 120",
"address_purpose": "LOCATION",
"city": "West Columbia",
"state": "SC",
"postal_code": "291694800",
"country_code": "US",
"telephone_number": "803-935-8410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZARGHAM KORANLOO",
"first_name": "KAMRAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "SC",
"license": "23150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "231500",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.