Active NPI
Roper Saint Francis Physicians Network
- Endocrinology, Diabetes & Metabolism Physician
- Mt. Pleasant, SC
National Provider Identifier
1083027866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- ROPER SAINT FRANCIS PHYSICIANS NETWORK
- Practice address
- 3510 Hwy 17N
Ste 220
Mt. Pleasant, SC 29466-8245 - Phone
- (843) 724-2011
- Fax
- (843) 606-7991
- NPI assigned
- Jun 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert R. Oliverio Jr., MD
- Title
- VP/Ceo Rsfpp
- Phone
- (843) 724-2903
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | SC | Primary |
Addresses
Primary practice location
3510 Hwy 17N
Ste 220
Mt. Pleasant, SC 29466-8245
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP6491 | Medicaid | SC | |
| 236 | Other | SC | BCBS SC AND BLUECHOICE SUFFIX |
Other names 1
- Roper St. Francis Physician Partners Endocrinology
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090528000405 | SC | Part B Supplier - Clinic/Group Practice | 5193874824 |
Receives reassigned benefits from 837 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Roper St Francis Physicians
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Medical Oncology Physician
- Charleston, SC
- NPI 1043557010
-
- Hematology & Oncology Physician
- Charleston, SC
- NPI 1043571383
-
- Plastic and Reconstructive Surgery Physician
- Mt Pleasant, SC
- NPI 1053149104
-
- Vascular Surgery Physician
- Walterboro, SC
- NPI 1053167577
-
- Internal Medicine Physician
- Summerville, SC
- NPI 1053248195
-
- Family Medicine Physician
- Murrells Inlet, SC
- NPI 1053716282
-
- Colon & Rectal Surgery Physician
- Johns Island, SC
- NPI 1063022739
-
- Gynecologic Oncology Physician
- Mt Pleasant, SC
- NPI 1063261634
-
- Neurological Surgery Physician
- Moncks Corner, SC
- NPI 1063653749
-
- Surgery Physician
- Goose Creek, SC
- NPI 1073095014
-
- Family Medicine Physician
- Charleston, SC
- NPI 1073756276
-
- Orthopaedic Surgery Physician
- Charleston, SC
- NPI 1073978615
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Mt Pleasant, SC
- NPI 1255449112
Endocrinology, Diabetes & Metabolism
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1083027866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "888-472-0043",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 HWY 17N",
"address_2": "STE 220",
"city": "MT. PLEASANT",
"state": "SC",
"postal_code": "294668245",
"telephone_number": "843-724-2011",
"fax_number": "843-606-7991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROPER SAINT FRANCIS PHYSICIANS NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-09",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A",
"authorized_official_last_name": "OLIVERIO",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "VP/CEO RSFPP",
"authorized_official_telephone_number": "843-724-2903",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP6491",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS SC AND BLUECHOICE SUFFIX",
"identifier": "236",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Roper St. Francis Physician Partners Endocrinology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mt. Pleasant, SC
- Roper Saint Francis Physicians Network
- Roper Saint Francis Physicians Network
- Roper Saint Francis Physicians Network
- Roper Saint Francis Physicians Network
- Roper Saint Francis Physicians Network
- Roper Saint Francis Physicians Network
- Roper Saint Francis Physicians Network
- Roper Saint Francis Physicians Network
- Roper Saint Francis Physicians Network
- Roper Saint Francis Physicians Network
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.