NPIMap

Individual provider Active NPI

Maria Rudisill Streck

  • Allergy & Immunology Physician
  • Mt Pleasant, SC
National Provider Identifier
1114963188
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
TL30868 Issued in SC
Practice address
1440 Ben Sawyer Blvd
Mt Pleasant, SC 29464-5525
Phone
(843) 876-8333
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 38389 TN
Allergy & Immunology Physician 207K00000X 19404 MS
Pediatrics Physician 208000000X 30868 SC
Pediatric Allergy/Immunology Physician 2080P0201X 30868 SC
Allergy & Immunology Physician 207K00000X TL30868 SC Primary

Addresses

Primary practice location

1440 Ben Sawyer Blvd
Mt Pleasant, SC 29464-5525

Mailing address

PO Box 602108
Charlotte, NC 28260-2108
Phone (843) 792-6200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mstreck2877@direct.musc.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081027000464 SC Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 8123021128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Wake Forest University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Family Care IncGroup PAC ID 4587557731, 81 clinicians

Practice addresses (Care Compare)

1440 Ben Sawyer
Suite 1111
Mount Pleasant, SC 29464-5525
Phone (843) 876-8333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.96 of 100Reported as group
Quality
89.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19404MSMDAllergy & Immunology Physician
TL30868SCMDAllergy & Immunology Physician
30868SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care Pediatrics CurrentSince Oct 1, 2008 Accepting new patients
Carolina Family Care, Inc Pediatrics CurrentSince Oct 1, 2008 Accepting new patients
McCulley Allergy Sinus & Asthma Allergy & Immunology PastSince Mar 1, 2020 Accepting new patients
Allergy & Asthma Care, PLC Allergy & Immunology PastSince Jul 8, 2013 Accepting new patients
Carolina Family Care, Inc Pediatrics Past Accepting new patients

Locations

864 Island Park Dr
Ste 101
Daniel Island, SC 29492
Phone (843) 792-4500

1440 Ben Sawyer Blvd
Mt Pleasant, SC 29464
Phone (843) 388-2504

1113 Park West Blvd
Mt Pleasant, SC 29466
Phone (843) 876-1445

1440 Ben Sawyer Blvd
Ste 1109
Mt Pleasant, SC 29464
Phone (843) 876-8333

1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14678/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mstreck2877@direct.musc.edu

Organizations & group practices 5

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 9

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1114963188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602108",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 BEN SAWYER BLVD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645525",
            "telephone_number": "843-876-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRECK",
        "first_name": "MARIA",
        "middle_name": "RUDISILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": "38389",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MS",
            "license": "19404",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "30868",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "SC",
            "license": "30868",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "SC",
            "license": "TL30868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstreck2877@direct.musc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1440 Ben Sawyer Blvd",
            "city": "MT Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294645525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

Verify at the official NPI Registry.