Active NPI
Alexander E Pogrebniak, MD
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Ophthalmology and Strabismus Specialist Physician
- License
- 40241
- Practice address
- 9 Richland Medical Park Dr Ste 340
Columbia, SC 29203-6870 - Phone
- (803) 434-2020
- Fax
- (803) 434-1581
- NPI assigned
- Aug 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME0053701 | FL | |
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | 40241 | SC | Primary |
Addresses
Primary practice location
9 Richland Medical Park Dr Ste 340
Columbia, SC 29203-6870
Mailing address
PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 402415 | Medicaid | SC | |
| 61891800 | Medicaid | FL |
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
- Ophthalmology
- Education
- University of Michigan Medical School, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9 Richland Medical Park Dr
Suite 340
Columbia, SC 29203-6870
Phone (803) 434-2020
Hospital & facility affiliations
- Prisma Health Richland Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0053701 | FL | MD | Ophthalmology Physician |
| 40241 | SC | MD | Pediatric Ophthalmology and Strabismus Specialist Physician Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Ophthalmology | Current | Accepting new patients |
Locations
9 Richland Medical Park Dr
Ste 340
Columbia, SC 29203
Phone (803) 434-2020
4 Medical Park Rd
Columbia, SC 29203
Phone (803) 434-2020
3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
1316 N Lake Dr
Lexington, SC 29072
Phone (803) 358-1191
Interoperability endpoints
- apogrebniak383250@direct.ghs.myhfn.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Ophthalmology
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, SC
- NPI 1962471946
Hospital
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1033889795
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1154197846
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1154373843
-
- General Acute Care Hospital
- Coulmbia, SC
- NPI 1154432458
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1396524104
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1508554452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1124039656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743904",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743904",
"telephone_number": "803-296-7320",
"fax_number": "803-296-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 RICHLAND MEDICAL PARK DR STE 340",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036870",
"telephone_number": "803-434-2020",
"fax_number": "803-434-1581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POGREBNIAK",
"first_name": "ALEXANDER",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME0053701",
"primary": false
},
{
"code": "207WX0110X",
"taxonomy_group": "",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": "SC",
"license": "40241",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "402415",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "61891800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.