Individual provider Active NPI

Sudesh H Kedar, MD

  • Family Medicine Physician
  • Lancaster, SC
National Provider Identifier
1124068945
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20291 Issued in SC
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

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GP2990MedicaidSC

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
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 Hospital, Lancaster, SC, CCN 420036

Merit-based Incentive Payment System (MIPS)

Final score
84.69 of 100Reported as individual
Quality
78.7
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Emergency Services, PLLC CurrentSince Sep 15, 2015 Accepting new patients
Carolina Urgent & Family Care CurrentSince Dec 31, 2001 Accepting new patients
Alleghany Emergency Group LLC CurrentSince Nov 4, 2017 Accepting new patients
Carolina Urgent & Family Care CurrentSince Jun 1, 2002 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 PastSince Oct 24, 2002 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

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: 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.

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

Verify at the official NPI Registry.