Active NPI
Sudesh H Kedar, MD
- Family Medicine Physician
- Lancaster, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20291
- Practice address
- 1133-B Highway 9 Bypass
Lancaster, SC 29720-1709 - Phone
- (803) 285-2225
- Fax
- (804) 285-2333
- NPI assigned
- Jun 8, 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 20291 | SC | |
| Family Medicine Physician | 207Q00000X | 20291 | SC | Primary |
Addresses
Primary practice location
1133-B Highway 9 Bypass
Lancaster, SC 29720-1709
Mailing address
1133-B Highway 9 Bypass
Lancaster, SC 29720-1709
Phone (803) 285-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2990 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050721000158 | SC | Practitioner - Emergency Medicine | 5890690762 | Reassigns benefits to 1 organization |
| I20111129000386 | NC | Practitioner - Emergency Medicine | 5890690762 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Northeastern Ohio University College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1133B Hwy 9 Byp W
Lancaster, SC 29720-1710
Phone (803) 285-2225
Hospital & facility affiliations
- Musc Health Lancaster Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.69 of 100
- Quality
- 78.7
- Promoting interoperability
- 88
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Emergency Services, PLLC | Current | Accepting new patients | |
| Carolina Urgent & Family Care | Current | Accepting new patients | |
| Alleghany Emergency Group LLC | Current | Accepting new patients | |
| Carolina Urgent & Family Care | Current | Accepting new patients | |
| Southern States Physical Therapy LLC | Past | Accepting new patients | |
| York Emergency Physicians | Past | Accepting new patients | |
| Chester Physicians Group LLC | Past | Accepting new patients | |
| Southern States Physical Medicine and Rehabilitation Center | Past | Accepting new patients | |
| Mid-Atlantic Emergency Medical Associates, PLLC | Past | Accepting new patients |
Locations
200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101
233 Doctors St
Sparta, NC 28675
Phone (336) 372-3223
1133 Highway 9 Byp W
#B
Lancaster, SC 29720
Phone (803) 283-8442
1130 Highway 9 Byp W
Lancaster, SC 29720
Phone (704) 491-1102
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- https://api.platform.athenahealth.com/7423/brand/1/csg/1/fhir/r4
Organizations & group practices 9
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.
-
- Rural Health Clinic/Center
- Lancaster, SC
- NPI 1043412885
-
- Emergency Medicine Physician
- Chester, SC
- NPI 1306138995
-
- Physical Therapist
- Lancaster, SC
- NPI 1023067014
-
- Physical Therapist
- Lancaster, SC
- NPI 1285024836
-
- Emergency Care Clinic/Center
- Rock Hill, SC
- NPI 1700828084
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1073562757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1124068945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133-B HIGHWAY 9 BYPASS",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297201709",
"telephone_number": "803-285-2225",
"fax_number": "804-285-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133-B HIGHWAY 9 BYPASS",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297201709",
"telephone_number": "803-285-2225",
"fax_number": "804-285-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEDAR",
"first_name": "SUDESH",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "SC",
"license": "20291",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "20291",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP2990",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.