Individual provider Active NPI

Dharmendra Bhaskaran, MD

  • Internal Medicine Physician
  • Lancaster, SC
National Provider Identifier
1023289121
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30340 Issued in SC
Practice address
834 W Meeting St
Suite F
Lancaster, SC 29720-6251
Phone
(803) 285-8777
Fax
(803) 285-8776
NPI assigned
Mar 17, 2008
Last updated
Jul 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30340 SC Primary

Addresses

Primary practice location

834 W Meeting St
Suite F
Lancaster, SC 29720-6251

Mailing address

PO Box 603898
Charlotte, NC 28260-3898
Phone (843) 792-6200

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
I20080529000708 SC Practitioner - Internal Medicine 0042380305 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30340SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc Internal Medicine CurrentSince Mar 1, 2019 Accepting new patients
Carolina Family Care, Inc CurrentSince Mar 1, 2019 Accepting new patients
SC Hospital Medicine Physicians LLC Internal Medicine CurrentSince Jun 29, 2020 Accepting new patients
Apogee Medical Group South Carolina Internal Medicine PastSince Oct 8, 2023 Accepting new patients

Locations

201 W Meeting St
Ste A
Lancaster, SC 29720
Phone (803) 286-4666

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1023289121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603898",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603898",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 W MEETING ST",
            "address_2": "SUITE F",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297206251",
            "telephone_number": "803-285-8777",
            "fax_number": "803-285-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASKARAN",
        "first_name": "DHARMENDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "30340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.