Active NPI
Kristian O. Hochberg, M.D.
- Vascular Surgery Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 89491
- Practice address
- 1327 Ashley River Rd
Charleston, SC 29407-5384 - Phone
- (843) 577-4551
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 89491 | SC | Primary |
Addresses
Primary practice location
1327 Ashley River Rd
Charleston, SC 29407-5384
Mailing address
1327 Ashley River Rd
Charleston, SC 29407-5384
Phone (843) 577-4551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04197320 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1327 Ashley River Rd
Suite B
Charleston, SC 29407-5384
Phone (843) 577-4551
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 181 |
| Leg revascularization (restoring blood flow) | 57 |
| Removal of tissue | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89491 | SC | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Vascular & Vein Center, LLC | Vascular Surgery | Current | Accepting new patients |
| Coastal Vascular and Vein Institute LLC | Vascular Surgery | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1327 Ashley River Rd
Ste B
Charleston, SC 29407
Phone (614) 591-4049
1327 Ashley River Rd
Charleston, SC 29407
Phone (843) 300-3588
1229 Nexton Pkwy
Unit C3
Summerville, SC 29486
Phone (843) 851-9069
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AHDFBA
- kristian.hochberg@cvvc.eclinicaldirectplus.com
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.
-
- Vascular Surgery Physician
- Charleston, SC
- NPI 1023157575
-
- Ambulatory Surgical Clinic/Center
- Summerville, SC
- NPI 1578259750
Vascular Surgery
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
-
- General Acute Care Hospital
- Walterboro, SC
- NPI 1376597997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1114930021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 ASHLEY RIVER RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294075384",
"telephone_number": "843-577-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 ASHLEY RIVER RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294075384",
"telephone_number": "843-577-4551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCHBERG",
"first_name": "KRISTIAN",
"middle_name": "O.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "SC",
"license": "89491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04197320",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.