Active NPI
Vincent Paul Grzywacz II, MD
- Radiation Oncology Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 89563
- Practice address
- 9330 Medical Plaza Dr
Charleston, SC 29406-9104 - Phone
- (843) 847-4571
- NPI assigned
- Jun 19, 2018
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 89563 | SC | Primary |
Addresses
Primary practice location
9330 Medical Plaza Dr
Charleston, SC 29406-9104
Mailing address
9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 847-4571
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Central Michigan College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Medical Park Dr
Walterboro, SC 29488-5719
Phone (843) 549-1421
9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 847-4946
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.42 of 100
- Quality
- 78.15
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 73.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89563 | SC | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Carolina Multispecialty Associates, LLC | Radiation Oncology | Current | Accepting new patients |
| Savannah Multispecialty Associates, LLC | Current | Accepting new patients |
Locations
25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345
9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366
120 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-1421
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- vincent.grzywacz@hca5.eclinicaldirectplus.com
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.
-
dba Coastal Carolina Surgical Specialists
- Specialist
- Summerville, SC
- NPI 1518079102
Radiation Oncology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
dba HCA Healthcare Trident Hospital
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1033603592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 MEDICAL PLAZA DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294069104",
"telephone_number": "843-847-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 MEDICAL PLAZA DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294069104",
"telephone_number": "843-847-4571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRZYWACZ",
"first_name": "VINCENT",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-19",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "SC",
"license": "89563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.