Abhishek Srivastava, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

83798 Issued in SC

Practice address

823 82ND Pkwy
Myrtle Beach, SC 29572-4607

Phone

(843) 449-1010

NPI assigned

Mar 23, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, SC2 enrollments

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 2

Specialty

Urology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Auc Urologists LLCGroup PAC ID 3375986953, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085
• Conway Medical Center Hospital, Conway, SC, CCN 420049
• Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098
• McLeod Loris Hospital Hospital, Loris, SC, CCN 420105

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: asrivastava189806@wellspan.direct-ci.com
• Direct secure messaging: asrivastava@auc.emadirect.md

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.

• Auc Urologists LLC

  • Urology Physician
  • Conway, SC
  • NPI 1780454017
  Medicare reassignment Care Compare group NPD
• Atlantic Urology Clinics LLC

  • Urology Physician
  • Little River, SC
  • NPI 1447293790
  Medicare reassignment NPD
• Delta Medix PC

  • Legal Medicine
  • Scranton, PA
  • NPI 1396701876
  Medicare reassignment NPD
• Einstein Practice Plan Inc

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1760434468
  Medicare reassignment NPD
• Wellspan Medical Group

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment NPD
• Atlantic Urology Clinics LLC

  • Gynecologic Oncology Physician
  • Myrtle Beach, SC
  • NPI 1881018596
  NPD
• Einstein Practice Plan Inc

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
  • NPI 1457047433
  NPD
• Einstein Practice Plan,Inc

  • Urology Physician
  • Philadelphia, PA
  • NPI 1154760809
  NPD
• Wellspan Medical Group

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  • Orthopaedic Surgery Physician
  • York, PA
  • NPI 1780839167
  NPD
• Einstein Practice Plan Inc

  • Surgery Physician
  • Philadelphia, PA
  • NPI 1992761621
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Conway Hospital, Inc

  • Otolaryngology Physician
  • Conway, SC
  • NPI 1760459028

  Hospital

  Care Compare affiliation
• Conway Hospital, Inc.

  • Surgery Physician
  • Conway, SC
  • NPI 1043977200

  Hospital

  Care Compare affiliation
• Conway Hospital, Inc.

  • Internal Medicine Physician
  • Conway, SC
  • NPI 1073219325

  Hospital

  Care Compare affiliation
• Conway Hospital, Inc.

  • General Acute Care Hospital
  • Conway, SC
  • NPI 1134172000
  Care Compare affiliation
• Conway Hospital, Inc.

  • Rehabilitation Hospital Unit
  • Conway, SC
  • NPI 1154991487
  Care Compare affiliation
• Conway Hospital, Inc.

  • Community Based Hospice Care Agency
  • Conway, SC
  • NPI 1164121935

  Hospital

  Care Compare affiliation
• Conway Hospital, Inc.

  • Orthopaedic Surgery Physician
  • Conway, SC
  • NPI 1316221500

  Hospital

  Care Compare affiliation
• Conway Hospital, Inc.

  • Family Medicine Physician
  • Conway, SC
  • NPI 1548573322

  Hospital

  Care Compare affiliation
• Conway Hospital, Inc.

  • Family Medicine Physician
  • Murrells Inlet, SC
  • NPI 1548963853

  Hospital

  Care Compare affiliation
• Conway Hospital, Inc.

  • Surgery Physician
  • Conway, SC
  • NPI 1649742321

  Hospital

  Care Compare affiliation
• Conway Hospital, Inc.

  • Family Medicine Physician
  • Conway, SC
  • NPI 1659762227

  Hospital

  Care Compare affiliation
• Conway Hospital, Inc.

  • Family Medicine Physician
  • Myrtle Beach, SC
  • NPI 1902047277

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1083980064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-347-2450",
            "fax_number": "843-497-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-449-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Bainbridge Ave",
            "address_2": "Medical Arts Pavilion, 5th Floor",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672404",
            "country_code": "US",
            "telephone_number": "718-920-8475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Cottman Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19111",
            "country_code": "US",
            "telephone_number": "215-728-6900",
            "fax_number": "215-214-1734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5046 Highway 17 Byp S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295884503",
            "country_code": "US",
            "telephone_number": "843-347-2450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 McLeod Health Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295794477",
            "country_code": "US",
            "telephone_number": "843-347-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "ABHISHEK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-23",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD464030",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "83798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shruthi Anjana Srinivasan, MD
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• Latona Larraine Staggers
• Russell Frank Stahl, MD
• Pavel M Stancut, M.D.
• Patricia Ann Stanford Metz, FNP

• Urology Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.

Verify at the official NPI Registry.