Individual provider Active NPI

Ramesh Bhoothapuri, MD

  • Nephrology Physician
  • Rock Hill, SC
National Provider Identifier
1124021076
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
22227 Issued in SC
Practice address
1436 Riverchase Blvd
Rock Hill, SC 29732-1777
Phone
(803) 329-2636
Fax
(803) 329-2184
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 22227 SC Primary

Addresses

Primary practice location

1436 Riverchase Blvd
Rock Hill, SC 29732-1777

Mailing address

1436 Riverchase Blvd
Rock Hill, SC 29732-1777
Phone (803) 329-2636

Other practice location 1

322 S Main St
Lancaster, SC 29720-2437
Phone (803) 286-8446

Other identifiers 1

IdentifierTypeStateIssuer
222271MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100217000510 SC Practitioner - Nephrology 4789784844 Reassigns benefits to 1 organization
I20120604000045 NC Practitioner - Nephrology 4789784844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates PAGroup PAC ID 9537128400, 11 clinicians

Practice addresses (Care Compare)

10628 Park Rd
Carolinas Medical Center Pineville
Charlotte, NC 28210-8407
Phone (803) 329-2636

1436 Riverchase Blvd
Rock Hill, SC 29732-1777
Phone (803) 329-2636

Hospital & facility affiliations

  • DaVita Lancaster SC Dialysis Dialysis facility, Lancaster, SC, CCN 422549
  • Musc Health Lancaster Medical Center Hospital, Lancaster, SC, CCN 420036
  • Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
53.8
Improvement activities
40
Cost
78.78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates PA Nephrology CurrentSince Oct 1, 1990 Accepting new patients
Georgia Heart Institute LLC Past Accepting new patients
Dva Healthcare Renal Care Inc PastSince Jun 30, 2023 Accepting new patients

Locations

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

322 S Main St
Lancaster, SC 29720
Phone (803) 286-8446

1436 Riverchase Blvd
Rock Hill, SC 29732
Phone (803) 329-2636

Interoperability endpoints

  • Direct secure messaging: rbhoothapuri19193@direct.acumenmd.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.

Hospital & facility affiliations 2

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1124021076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 RIVERCHASE BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321777",
            "telephone_number": "803-329-2636",
            "fax_number": "803-329-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 RIVERCHASE BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321777",
            "telephone_number": "803-329-2636",
            "fax_number": "803-329-2184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 S Main St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "SC",
            "postal_code": "297202437",
            "country_code": "US",
            "telephone_number": "803-286-8446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHOOTHAPURI",
        "first_name": "RAMESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "22227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222271",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.