Individual provider Active NPI

Paul M Kuperman, MD

  • Diagnostic Radiology Physician
  • Conway, SC
National Provider Identifier
1114903515
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
26845 Issued in SC
Practice address
300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone
(843) 238-8660
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 26845 SC Primary
Vascular & Interventional Radiology Physician 2085R0204X 26845 SC
Body Imaging Physician 2085B0100X 26845 SC
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 26845 SC
Diagnostic Ultrasound Physician 2085U0001X 26845 SC
Neuroradiology Physician 2085N0700X 26845 SC
Nuclear Radiology Physician 2085N0904X 26845 SC
Pediatric Radiology Physician 2085P0229X 26845 SC
Radiation Oncology Physician 2085R0001X 26845 SC
Radiological Physics Physician 2085R0205X 26845 SC
Therapeutic Radiology Physician 2085R0203X 26845 SC
Nuclear Medicine Physician 207U00000X 26845 SC

Addresses

Primary practice location

300 Singleton Ridge Rd
Conway, SC 29526-9142

Mailing address

PO Box 51030
Myrtle Beach, SC 29579-0018
Phone (843) 238-8660

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
I20040714000743 SC Practitioner - Diagnostic Radiology 5496734576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Radiology Associates LLCGroup PAC ID 1658350764, 63 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

1303 Azalea CT
Suite C
Myrtle Beach, SC 29577-5765
Phone (843) 692-0570

199 Village Ctr Blvd
Suite 110
Myrtle Beach, SC 29579-3589
Phone (843) 692-0570

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 692-0570

3655 Mitchell St
Loris, SC 29569-2827
Phone (843) 692-0570

4000 Hwy 9 E
Little River, SC 29566-7833
Phone (843) 692-0570

5050 Hwy 17 Byp S
Myrtle Beach, SC 29588-4500
Phone (843) 692-0570

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1916

945 82ND Pkwy
Myrtle Beach, SC 29572-4612
Phone (843) 692-0570

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
63.77

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Carolina Radiology Associates LLC Diagnostic Neuroimaging CurrentSince Jul 1, 2004 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2024 Accepting new patients
Carolina Forest Imaging Center LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 28)

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

964 Lochend Dr
Darlington, SC 29532
Phone (843) 393-7223

701 Cashua Ferry Rd
Darlington, SC 29532
Phone (843) 395-1100

301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166

1204 E Cheves St
Florence, SC 29506
Phone (843) 673-0122

101 S Ravenel St
Ste 160
Florence, SC 29506
Phone (843) 662-1533

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

2437 Willwood Dr
Florence, SC 29501
Phone (843) 777-3000

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

3015 W Palmetto St
Florence, SC 29501
Phone (843) 777-6870

23 Main St
Ste 103
Hilton Head Island, SC 29926
Phone (803) 290-1898

201 W Meeting St
Lancaster, SC 29720
Phone (803) 286-4446

1037 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

4000 Highway 9 E
Little River, SC 29566
Phone (843) 390-8100

4237 River Hills Dr
Little River, SC 29566
Phone (417) 848-9188

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

2829 E Highway 76
Mullins, SC 29574
Phone (843) 431-2150

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

199 Village Center Blvd
Ste 110
Myrtle Beach, SC 29579
Phone (843) 236-7878

945 82nd Pkwy
Myrtle Beach, SC 29572

1303 Azalea Ct
Ste C
Myrtle Beach, SC 29577
Phone (843) 962-0570

Interoperability endpoints

  • Direct secure messaging: pkuperman51034@directmcleodehealth.org

Organizations & group practices 4

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1114903515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51030",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295790018",
            "telephone_number": "843-238-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-238-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPERMAN",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "26845",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "SC",
            "license": "26845",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "SC",
            "license": "26845",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "SC",
            "license": "26845",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "SC",
            "license": "26845",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "SC",
            "license": "26845",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "SC",
            "license": "26845",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "SC",
            "license": "26845",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SC",
            "license": "26845",
            "primary": false
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "SC",
            "license": "26845",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "SC",
            "license": "26845",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "SC",
            "license": "26845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.