NPIMap

Individual provider Active NPI

Marwan Kamil Elya, MD

  • Pulmonary Disease Physician
  • Florence, SC
National Provider Identifier
1124169479
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
30478 Issued in SC
Practice address
401 E Cheves St
Suite 202
Florence, SC 29506-2615
Phone
(843) 777-7863
Fax
(843) 777-7873
NPI assigned
Feb 9, 2007
Last updated
Jan 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 30478 SC
Pulmonary Disease Physician 207RP1001X 30478 SC Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 30478 SC

Addresses

Primary practice location

401 E Cheves St
Suite 202
Florence, SC 29506-2615

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7863

Other identifiers 1

IdentifierTypeStateIssuer
304780MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080709000359 SC Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Sleep Medicine 5597837435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease, Sleep Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Medical Center-Dillon CurrentSince Jan 25, 2020 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Critical Care Medicine CurrentSince Sep 1, 2014 Accepting new patients
McLeod Medical Center-Dillon CurrentSince Jan 25, 2020 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 1, 2014 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc. Past Accepting new patients

Locations

301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

Interoperability endpoints

  • Direct secure messaging: melya19009@directmcleodehealth.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
McLeod Medical Center-DillonDillon, SC, CCN 42U005 Hospital Corporate Officer Jan 1, 2026
McLeod Health ClarendonManning, SC, CCN 42U109 Hospital Corporate Officer Jan 1, 2026
Eagerton Family PracticeManning, SC, CCN 423471 Rural health clinic Corporate Officer Jan 1, 2026

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1124169479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-777-7863",
            "fax_number": "843-777-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHEVES ST",
            "address_2": "SUITE 202",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062615",
            "telephone_number": "843-777-7863",
            "fax_number": "843-777-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELYA",
        "first_name": "MARWAN",
        "middle_name": "KAMIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "30478",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "30478",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "SC",
            "license": "30478",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304780",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.