Individual provider Active NPI

Kishore Subnani, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Little River, SC
National Provider Identifier
1013151653
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
83488 Issued in SC
Practice address
3980 Highway 9 E Ste 220
Little River, SC 29566-8164
Phone
(843) 390-0877
Fax
(843) 390-0881
NPI assigned
Apr 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 83488 SC Primary

Addresses

Primary practice location

3980 Highway 9 E Ste 220
Little River, SC 29566-8164

Mailing address

3980 Highway 9 E Ste 220
Little River, SC 29566-8164
Phone (843) 390-0877

Other practice location 1

101 William H Johnson St Ste 600
Florence, SC 29506-2773
Phone (843) 667-1891

Other practice location 2

107 McLeod Health Blvd Ste 202
Myrtle Beach, SC 29579-4477
Phone (843) 839-1201

Other practice location 3

3485 Mitchell St
Loris, SC 29569-2823
Phone (843) 756-7029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170823002804 NY Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7810269115 Reassigns benefits to 1 organization
I20200310002204 SC Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7810269115 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 McLeod Health Blvd
Suite 201
Myrtle Beach, SC 29579-4477
Phone (843) 646-8001

101 William H Johnson St
Suite 600
Florence, SC 29506-2773
Phone (843) 667-1891

107 McLeod Health Blvd
Myrtle Beach, SC 29579-4477

3781 McDowell Lane
Suite 200
Little River, SC 29566-7833
Phone (843) 366-3891

3793 McDowell LN
Suite 200
Little River, SC 29566-7892
Phone (843) 390-0877

4000 Hwy 9 E
Suite 250
Little River, SC 29566-7833
Phone (843) 366-3891

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Jan 20, 2020 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Jul 2, 2022 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Jul 2, 2022 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Jan 4, 2020 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 15, 2024 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 15, 2024 Accepting new patients
McLeod Physician Associates II CurrentSince Jan 20, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jan 4, 2020 Accepting new patients

Locations

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

42084 State Highway 28
Margaretville, NY 12455
Phone (845) 334-2819

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

506 E Cheves St
#202
Florence, SC 29506

101 William H Johnson St
Ste 600
Florence, SC 29506
Phone (843) 667-1891

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

3980 Highway 9 E
Ste 220
Little River, SC 29566
Phone (843) 390-0877

3793 McDowell Ln
Ste 200
Little River, SC 29566
Phone (843) 390-0877

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

3485 Mitchell St
Loris, SC 29569
Phone (843) 390-0877

107 McLeod Health Blvd
Ste 202
Myrtle Beach, SC 29579
Phone (843) 798-4194

Interoperability endpoints

  • Direct secure messaging: ksubnani40203@directmcleodehealth.org

Organizations & group practices 8

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 2

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": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1013151653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 HIGHWAY 9 E STE 220",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295668164",
            "telephone_number": "843-390-0877",
            "fax_number": "843-390-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 HIGHWAY 9 E STE 220",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295668164",
            "telephone_number": "843-390-0877",
            "fax_number": "843-390-0881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 William H Johnson St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295062773",
            "country_code": "US",
            "telephone_number": "843-667-1891",
            "fax_number": "843-665-2516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 McLeod Health Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295794477",
            "country_code": "US",
            "telephone_number": "843-839-1201",
            "fax_number": "843-839-1202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3485 Mitchell St",
            "address_purpose": "LOCATION",
            "city": "Loris",
            "state": "SC",
            "postal_code": "295692823",
            "country_code": "US",
            "telephone_number": "843-756-7029",
            "fax_number": "843-756-7033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBNANI",
        "first_name": "KISHORE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-27",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "SC",
            "license": "83488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

Verify at the official NPI Registry.