Individual provider Active NPI

Supen R Patel, MD

  • Rheumatology Physician
  • Florence, SC
National Provider Identifier
1114969359
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
19744 Issued in SC
Practice address
600 E Palmetto St
Florence, SC 29506
Phone
(843) 667-9414
Fax
(843) 667-1362
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 19744 SC Primary

Addresses

Primary practice location

600 E Palmetto St
Florence, SC 29506

Mailing address

360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414

Other practice location 1

1594 Freedom Blvd
Suite 202
Florence, SC 29505-6046
Phone (843) 674-6440

Other identifiers 3

IdentifierTypeStateIssuer
660002624OtherSCRAILROAD MEDICARE
89063RJMedicaidNC
T37467MedicaidSC

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
I20100323000737 SC Practitioner - RheumatologyPractitioner - Internal Medicine 7719012111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hopehealth, Inc.Group PAC ID 4082510623, 77 clinicians

Practice addresses (Care Compare)

600 E Palmetto St
Florence, SC 29506-2851
Phone (843) 667-9414

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Kingstree, SC, CCN 427068
  • Amedisys Home Health of Conway Home health agency, Conway, SC, CCN 427112
  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • Carolina Pines Regional Medical Center Hospital, Hartsville, SC, CCN 420010
  • Encompass Health Rehabilitation Hospital of Flore Inpatient rehabilitation facility, Florence, SC, CCN 423026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth Inc CurrentSince Jan 9, 2019 Accepting new patients
Hopehealth Therapeutics LLC Rheumatology CurrentSince Aug 16, 2025 Accepting new patients
Hopehealth Inc Current Accepting new patients
Hopehealth Inc CurrentSince Jan 9, 2019 Accepting new patients
Hartsville Hma Physician Management Inc Past Accepting new patients
Carolina Health Care, P.a. Past Accepting new patients
Encompass Health Rehabilitation Hospital of Florence, Inc. Past Accepting new patients

Locations

600 E Palmetto St
Ste B
Florence, SC 29506
Phone (843) 407-0070

600 E Palmetto St
Florence, SC 29506
Phone (843) 656-0390

360 N Irby St
Florence, SC 29501
Phone (843) 656-0353

Interoperability endpoints

  • Direct secure messaging: supen.patel@hop.eclinicaldirectplus.com

Organizations & group practices 7

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 6

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1114969359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29506",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1594 Freedom Blvd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295056046",
            "country_code": "US",
            "telephone_number": "843-674-6440",
            "fax_number": "843-674-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUPEN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "SC",
            "license": "19744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "660002624",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89063RJ",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T37467",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.