Individual provider Active NPI

Darren S Sidney, M.D.

  • Cardiovascular Disease Physician
  • North Charleston, SC
National Provider Identifier
1073600540
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
30166 Issued in SC
Practice address
9221 University Blvd
Suite 102
North Charleston, SC 29406-9148
Phone
(843) 576-0700
Fax
(843) 576-0701
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30166 SC
Clinical Cardiac Electrophysiology Physician 207RC0001X 30166 SC
Cardiovascular Disease Physician 207RC0000X 30166 SC Primary

Addresses

Primary practice location

9221 University Blvd
Suite 102
North Charleston, SC 29406-9148

Mailing address

9221 University Blvd
Suite 102
North Charleston, SC 29406-9148
Phone (843) 576-0700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DARREN.SIDNEY@hca5.eclinicaldirectplus.com

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
I20110805000089 SC Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3274702436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Multispecialty Associates LLCGroup PAC ID 9931105046, 48 clinicians

Practice addresses (Care Compare)

120 Medical Park Dr
Walterboro, SC 29488-5719
Phone (843) 549-1421

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-7111

570 Long Point Rd
Suite 240
Mount Pleasant, SC 29464-7932
Phone (843) 875-8994

9304 Medical Plaza Dr
Suite D
Charleston, SC 29406-9143
Phone (843) 821-0733

9313 Medical Plaza Dr
Charleston, SC 29406-9197

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 847-4946

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Colleton Medical Center Hospital, Walterboro, SC, CCN 420030

Merit-based Incentive Payment System (MIPS)

Final score
86.42 of 100Reported as group
Quality
78.15
Promoting interoperability
98
Improvement activities
40
Cost
73.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30166SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Multispecialty Associates, LLC Cardiovascular Disease CurrentSince Feb 20, 2012 Accepting new patients
Trident Medical Center, LLC Past Accepting new patients
Coastal Carolina Multispecialty Assocs, LLC Past Accepting new patients

Locations

570 Long Point Rd
Ste 240
Mt Pleasant, SC 29464
Phone (843) 797-5151

9221 University Blvd
Ste 102
North Charleston, SC 29406
Phone (843) 576-0700

9304 Medical Plaza Dr
Ste D
North Charleston, SC 29406
Phone (843) 820-2020

9313 Medical Plaza Dr
Ste 305
North Chas, SC 29406
Phone (843) 553-7615

120 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-1421

Organizations & group practices 3

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1073600540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 UNIVERSITY BLVD",
            "address_2": "SUITE 102",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069148",
            "telephone_number": "843-576-0700",
            "fax_number": "843-576-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 UNIVERSITY BLVD",
            "address_2": "SUITE 102",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069148",
            "telephone_number": "843-576-0700",
            "fax_number": "843-576-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDNEY",
        "first_name": "DARREN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "30166",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "SC",
            "license": "30166",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "30166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DARREN.SIDNEY@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "9221 University Blvd",
            "address_2": "SUITE 102",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294069148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.