Individual provider Active NPI

Howard W Klickman, M.D.

  • Internal Medicine Physician
  • Gaffney, SC
National Provider Identifier
1174594477
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28209 Issued in SC
Practice address
139 Medical Center Dr
Gaffney, SC 29340
Phone
(864) 487-7186
Fax
(864) 487-7246
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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 28209 SC Primary

Addresses

Primary practice location

139 Medical Center Dr
Gaffney, SC 29340

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304

Other identifiers 6

IdentifierTypeStateIssuer
4111064OtherSCAETNA
AA1030J577OtherSCMEDICARE PIN
5902122MedicaidNC
E2006OtherSCMEDCOST
282090MedicaidSC
AA10309068OtherSCMEDICARE PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hklickman37271@direct-srhs.et0939.epichosted.com Direct

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
I20050912000046 SC Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8224012919 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical Center 1,060 clinicians
Cherokee Medical Center 38 clinicians
Pelham Medical Center 132 clinicians

Practice addresses (Care Compare)

1200 E Main St
Suite 12
Spartanburg, SC 29307-1738
Phone (864) 560-9260

139 Medical Ctr Dr
Gaffney, SC 29340-4823
Phone (864) 487-7186

250 Westmoreland Rd
Greer, SC 29651-9013
Phone (864) 530-2108

2995 Reidville Rd
Suite 100
Spartanburg, SC 29301-5600
Phone (864) 587-3000

840 W Floyd Baker Blvd
Gaffney, SC 29341-1845
Phone (864) 489-3300

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Gaffney, SC, CCN 427117
  • Interim Healthcare of the Upstate Home health agency, Greenville, SC, CCN 427015
  • Amedisys Home Health of Clinton Home health agency, Clinton, SC, CCN 427116
  • Spartanburg Regional Home Health Home health agency, Spartanburg, SC, CCN 427024
  • Cherokee Medical Center Hospital, Gaffney, SC, CCN 420043
  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007
  • Pelham Medical Center Hospital, Greer, SC, CCN 420103

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center CurrentSince Dec 1, 2021 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Cherokee Medical Center CurrentSince Oct 1, 2019 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Pelham Medical Center Internal Medicine CurrentSince Jan 26, 2013 Accepting new patients
Spartanburg Medical Center CurrentSince Sep 1, 2005 Accepting new patients
Pelham Medical Center Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
Pelham Medical Center Current Accepting new patients
Pelham Medical Center CurrentSince Jan 26, 2013 Accepting new patients
Cherokee Medical Center Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Spartanburg Medical Center CurrentSince Nov 1, 2019 Accepting new patients
Spartanburg Medical Center CurrentSince Sep 1, 2005 Accepting new patients
Cherokee Medical Center Current Accepting new patients

Locations

139 Medical Center Dr
Gaffney, SC 29340
Phone (864) 487-7186

840 W Floyd Baker Blvd
Gaffney, SC 29341
Phone (864) 489-3300

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

1200 E Main St
Ste 12
Spartanburg, SC 29307
Phone (864) 560-9260

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

853 N Church St
Ste 701
Spartanburg, SC 29303
Phone (864) 560-1650

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

2995 Reidville Rd
Ste 100
Spartanburg, SC 29301
Phone (864) 587-3000

2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696

511 Cross Anchor Rd
Woodruff, SC 29388
Phone (864) 278-6031

Interoperability endpoints

  • Direct secure messaging: hklickman37271@direct-srhs.et0939.epichosted.com

Organizations & group practices 35

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.

View all 35

Hospital & facility affiliations 11

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1174594477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 MEDICAL CENTER DR",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "29340",
            "telephone_number": "864-487-7186",
            "fax_number": "864-487-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLICKMAN",
        "first_name": "HOWARD",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "28209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4111064",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "AA1030J577",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902122",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "E2006",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282090",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "AA10309068",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hklickman37271@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "hklickman37271@direct-srhs.et0939.epichosted.com",
            "address_1": "139 Medical Center Dr",
            "city": "Gaffney",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

Verify at the official NPI Registry.