Individual provider Active NPI

Nancy Rose Lembo, D.O.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Summerville, SC
National Provider Identifier
1154388064
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
918 Issued in SC
Practice address
763 Travelers Blvd
Suite D
Summerville, SC 29485-8796
Phone
(843) 569-5421
Fax
(843) 569-5973
NPI assigned
Apr 26, 2006
Last updated
Sep 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 918 SC Primary

Addresses

Primary practice location

763 Travelers Blvd
Suite D
Summerville, SC 29485-8796

Mailing address

763 Travelers Blvd Suite D
Summerville, SC 29485
Phone (843) 569-5421

Other identifiers 2

IdentifierTypeStateIssuer
009181MedicaidSC
400863MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050718000788 SC Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 7618966243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
New York College of Osteo Medicine of New York Institute of Technology, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

763 Travelers Blvd
Suite D
Summerville, SC 29485-8796
Phone (843) 569-5421

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
918SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Spine and Sport Rehabiliatation Specialist,P.a. CurrentSince May 1, 2008 Accepting new patients
Northeastern Rehabilitation Associates, PC PastSince Aug 1, 2012 Accepting new patients
Palmetto Health Alliance Past Accepting new patients
Integrity Chiropractic Center, LLC Past Accepting new patients

Locations

763 Travelers Blvd
Ste D
Summerville, SC 29485
Phone (843) 569-5421

1904 Sunset Blvd
Ste C
West Columbia, SC 29169
Phone (207) 751-4481

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGGABD/Endpoint/BGGABD

Organizations & group practices 4

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1154388064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 TRAVELERS BLVD SUITE D",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29485",
            "telephone_number": "843-569-5421",
            "fax_number": "843-569-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 TRAVELERS BLVD",
            "address_2": "SUITE D",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858796",
            "telephone_number": "843-569-5421",
            "fax_number": "843-569-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMBO",
        "first_name": "NANCY",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "SC",
            "license": "918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009181",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400863",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.