NPIMap

Individual provider Active NPI

Heidi Enejosa Rodillo, MD

  • Internal Medicine Physician
  • Abbeville, SC
National Provider Identifier
1124194451
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11698 Issued in SC
Practice address
901 W Greenwood St Ste 1
Abbeville, SC 29620-5727
Phone
(864) 366-9681
Fax
(864) 366-5600
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11698 SC Primary

Addresses

Primary practice location

901 W Greenwood St Ste 1
Abbeville, SC 29620-5727

Mailing address

PO Box 968
Abbeville, SC 29620-0968
Phone (864) 366-9681

Other identifiers 6

IdentifierTypeStateIssuer
582366449OtherTAX ID
11698OtherSCSC LICENSE NUMBER
PC3126MedicaidSC
080085988OtherSCMEDICARE RAILROAD
116984MedicaidSC
RHC210MedicaidSC

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
I20041004000853 SC Practitioner - Internal Medicine 2567421837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abbeville County Memorial Hospital 46 clinicians

Practice addresses (Care Compare)

901 W Greenwood St
Suite 1
Abbeville, SC 29620-5727
Phone (864) 366-9681

Hospital & facility affiliations

  • Home Health Services of Self Regional Healthcare Home health agency, Greenwood, SC, CCN 427018
  • Abbeville Area Medical Center Hospital, Abbeville, SC, CCN 421301
  • Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11698SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abbeville County Memorial Hospital CurrentSince Oct 1, 2025 Accepting new patients
Abbeville County Memorial Hospital CurrentSince Jul 1, 2011 Accepting new patients
Abbeville County Memorial Hospital Past Accepting new patients

Locations

420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649

901 W Greenwood St
Ste 1
Abbeville, SC 29620
Phone (864) 229-2663

901 W Greenwood St
Ste 7
Abbeville, SC 29620
Phone 8643664565 ext. 1723

Interoperability endpoints

  • Direct secure messaging: hrodillo121576@selfregional.direct-ci.net

Organizations & group practices 6

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 7

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1124194451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 968",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296200968",
            "telephone_number": "864-366-9681",
            "fax_number": "864-366-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W GREENWOOD ST STE 1",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296205727",
            "telephone_number": "864-366-9681",
            "fax_number": "864-366-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODILLO",
        "first_name": "HEIDI",
        "middle_name": "ENEJOSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "11698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "582366449",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LICENSE NUMBER",
            "identifier": "11698",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC3126",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080085988",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116984",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC210",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, SC

Sources for this page

Verify at the official NPI Registry.