Individual provider Active NPI

Andrew Hagenauer, D.O

  • Sports Medicine (Family Medicine) Physician
  • Seneca, SC
National Provider Identifier
1063894590
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
37689 Issued in SC
Practice address
10110 Clemson Blvd
Seneca, SC 29678-0812
Phone
(864) 482-3148
Fax
(864) 482-0505
NPI assigned
Jun 21, 2015
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LL37689 SC
Sports Medicine (Family Medicine) Physician 207QS0010X 37689 SC Primary

Addresses

Primary practice location

10110 Clemson Blvd
Seneca, SC 29678-0812

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8614

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
I20180314002294 SC Practitioner - Family Practice 8123316262 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, shared by 12 NPIs, 348 clinicians
Anmed Urgent Care LLCGroup PAC ID 1759819261, 13 clinicians

Practice addresses (Care Compare)

100 Healthy Way
Suite 1200
Anderson, SC 29621-7916
Phone (864) 716-6140

600 N Fant St
Anderson, SC 29621-5704
Phone (864) 512-2000

800 N Fant St
Anderson, SC 29621-5708
Phone (864) 512-1000

801 N Fant St
Anderson, SC 29621-5707
Phone (864) 642-3777

895 Tiger Blvd
Clemson, SC 29631-1480
Phone (864) 654-6800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.33 of 100Reported as group
Quality
75.48
Promoting interoperability
100
Improvement activities
40
Cost
72.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37689SCMDPharmacist
LL37689SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Feb 1, 2025 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Family Medicine Current Accepting new patients
Anmed Urgent Care LLC CurrentSince Jul 22, 2025 Accepting new patients
Anmed Health Family Medicine Current Accepting new patients
Anmed Health CurrentSince Mar 22, 2025 Accepting new patients
Diagnostic Radiology of Anderson, P.a. Current Accepting new patients

Locations

100 Healthy Way
Ste 1200
Anderson, SC 29621
Phone (864) 260-9910

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

2000 E Greenville St
Ste 3700
Anderson, SC 29621
Phone (864) 512-1473

600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

801 N Fant St
Anderson, SC 29621
Phone (864) 261-8000

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

Interoperability endpoints

  • Direct secure messaging: ahagenauer8166@direct.anmedhealth.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1434844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1063894590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 CLEMSON BLVD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296780812",
            "telephone_number": "864-482-3148",
            "fax_number": "864-482-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGENAUER",
        "first_name": "ANDREW",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-21",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL37689",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "SC",
            "license": "37689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.