Individual provider Active NPI

Ryan Scott Rhodes, MD

  • Ophthalmology Physician
  • Orangeburg, SC
National Provider Identifier
1013531045
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
84316 Issued in SC
Practice address
1190 Summers Ave
Orangeburg, SC 29115-4922
Phone
(803) 534-0266
Fax
(803) 534-0904
NPI assigned
Jun 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LL84316 SC
Ophthalmology Physician 207W00000X 84316 SC Primary

Addresses

Primary practice location

1190 Summers Ave
Orangeburg, SC 29115-4922

Mailing address

1190 Summers Ave
Orangeburg, SC 29115-4922
Phone (803) 534-0266

Other practice location 1

101 E Wood St
Spartanburg, SC 29303-3040
Phone (843) 330-8923

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
I20241016004121 SC Practitioner - Ophthalmology 4789001918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical University of South Carolina College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orangeburg Eye CenterGroup PAC ID 8628108370, 4 clinicians

Practice addresses (Care Compare)

1190 Summers Ave
Orangeburg, SC 29115-4922
Phone (803) 534-0266

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery406

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84316SCMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Orangeburg Eye Center Ophthalmology CurrentSince Jun 20, 2024 Accepting new patients
Orangeburg Opticians PastSince Jun 20, 2024 Accepting new patients

Locations

1190 Summers Ave
Orangeburg, SC 29115
Phone (803) 534-0266

Organizations & group practices 2

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 6

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": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1013531045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 SUMMERS AVE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154922",
            "telephone_number": "803-534-0266",
            "fax_number": "803-534-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 SUMMERS AVE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154922",
            "telephone_number": "803-534-0266",
            "fax_number": "803-534-0904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Wood St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293033040",
            "country_code": "US",
            "telephone_number": "843-330-8923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODES",
        "first_name": "RYAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2024-06-18",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL84316",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "84316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.