NPIMap

Organization Active NPI

Oakview Medical Associates LLC

  • Adult Medicine Physician
  • Simpsonville, SC
National Provider Identifier
1104086818
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
24857 Issued in SC
Legal business name
OAKVIEW MEDICAL ASSOCIATES LLC
Practice address
215 Batesville Rd
Suite B
Simpsonville, SC 29681
Phone
(864) 627-0444
Fax
(864) 627-0555
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Nivedita S Bijoor, MDNPI 1588631717
Title
President Owner
Phone
(864) 627-0444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 24857 SC Primary

Addresses

Primary practice location

215 Batesville Rd
Suite B
Simpsonville, SC 29681

Mailing address

PO Box 12308
Greenville, SC 29612-0308
Phone (864) 627-0444

Other identifiers 1

IdentifierTypeStateIssuer
5023MedicaidSC

Other names 1

  • BIJOOR MEDICAL ASSOCIATES LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080924000777 SC Part B Supplier - Clinic/Group Practice 9234206798 Receives reassigned benefits from 6 practitioners
Practice locations: Simpsonville, SC

National Provider Directory

National Provider Directory

Locations

11 Five Fork Plaza Ct
Simpsonville, SC 29681
Phone (864) 627-0444

11 Five Fork Plaza Ct
#A
Simpsonville, SC 29681
Phone (864) 627-0444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHFHAD

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1104086818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12308",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296120308",
            "telephone_number": "864-627-0444",
            "fax_number": "864-627-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BATESVILLE RD",
            "address_2": "SUITE B",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29681",
            "telephone_number": "864-627-0444",
            "fax_number": "864-627-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKVIEW MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "BIJOOR",
        "authorized_official_first_name": "NIVEDITA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "864-627-0444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "SC",
            "license": "24857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5023",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIJOOR MEDICAL ASSOCIATES LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.

Verify at the official NPI Registry.