Active NPI
Dev Gerald Vaz, MD
- Cardiovascular Disease Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 22763
- Practice address
- 877 W Faris Rd
Ste B
Greenville, SC 29605 - Phone
- (864) 455-6900
- Fax
- (864) 255-5619
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 22763 | SC | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 01053497A | IN |
Addresses
Primary practice location
877 W Faris Rd
Ste B
Greenville, SC 29605
Mailing address
1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6174
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227631 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Doctors Dr
Suite 100
Greenville, SC 29605-4266
Phone (864) 522-5220
1005 Grove Rd
Greenville, SC 29605-4630
Phone (864) 455-6900
1025 Verdae Blvd
Greenville, SC 29607-4032
109 Fleetwood Dr
Easley, SC 29640-2019
175 Patewood Dr
Greenville, SC 29615-3570
Phone (864) 797-1403
200 Fleetwood Dr
Easley, SC 29640-2022
Phone (864) 442-7618
200 Patewood Dr
Suite B480
Greenville, SC 29615-6327
Phone (864) 454-4570
210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123
22725 Hwy 76 E
Clinton, SC 29325-7527
Phone (864) 833-4545
22725 US Hwy 76
Suite 3C
Clinton, SC 29325-7527
Phone (864) 833-3852
298 Memorial Dr
Seneca, SC 29672-9443
Phone (864) 455-2455
3 Butternut Dr
Suite B4
Greenville, SC 29605-4655
Phone (864) 455-6900
300 E McBee Ave
Greenville, SC 29601-2842
Phone (864) 797-6220
300 E McBee Ave FL
Suite 4
Greenville, SC 29601-2842
701 Grove Rd
Greenville, SC 29605-4210
717 SE Main St
Simpsonville, SC 29681-3237
Phone (864) 522-5400
719 A SE Main St
Simpsonville, SC 29681-3237
Phone (864) 967-9000
719 SE Main St
Simpsonville, SC 29681-3237
Phone (864) 522-5400
741 SE Main St
Simpsonville, SC 29681-3237
Phone (864) 522-8420
807 N Main St
Travelers Rest, SC 29690-1551
Phone (864) 455-9261
815 N Main St
Travelers Rest, SC 29690-1551
Phone (864) 455-9261
817 N Main St
Travelers Rest, SC 29690-1551
Phone (864) 455-9790
830 S Buncombe Rd
Greer, SC 29650-2400
Phone (864) 455-2455
905 Verdae Blvd
Greenville, SC 29607-4098
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01053497A | IN | MD | Cardiovascular Disease Physician |
| 22763 | SC | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Health System | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Indiana Heart Associates PC | Cardiovascular Disease | Past | Accepting new patients |
Locations
200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
Interoperability endpoints
- dvaz5511@direct.ghs.myhfn.org
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
dba GHS Patewood Memorial Hospital
- General Acute Care Hospital
- Greenville, SC
- NPI 1568532513
-
dba GHS Patewood Op Center BLDG a
- General Acute Care Hospital
- Greenville, SC
- NPI 1225453269
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1992821631
Hospital & facility affiliations 56
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Prisma Health Oconee Memorial Hospital
- General Acute Care Hospital
- Seneca, SC
- NPI 1063968196
-
dba Prisma Health Wonder Center
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
dba Prisma Health Cancer Inst-Faris
- General Acute Care Hospital
- Greenville, SC
- NPI 1114473212
-
dba Prisma Health Center for Family Medicine
- General Acute Care Hospital
- Greenville, SC
- NPI 1174079271
-
dba Prisma Health OP Radiology
- Radiology Clinic/Center
- Greenville, SC
- NPI 1235685330
Hospital
-
dba Prisma Health Cardiovascular Svcs Simp
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1265988364
-
dba Prisma Health Sleep Disorders Center-Verdae
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
-
dba Prisma Health Diabetes Self Care Mgt Prog
- Multi-Specialty Clinic/Center
- Greenville, SC
- NPI 1285180307
Hospital
-
dba Prisma Health Womens/Childrens Program
- Clinic/Center
- Greenville, SC
- NPI 1316492218
Hospital
-
dba Prisma Health Surgery Center - Centennial Way
- General Acute Care Hospital
- Greenville, SC
- NPI 1326884982
-
dba Prisma Health Kidnetics-Medicaid
- Developmental Disabilities Clinic/Center
- Greenville, SC
- NPI 1336695436
Hospital
-
dba Prisma Health Cardiovascular Svcs GRNV
- General Acute Care Hospital
- Greenville, SC
- NPI 1366998460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1174614804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT STE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154536",
"telephone_number": "864-797-6174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 W FARIS RD",
"address_2": "STE B",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29605",
"telephone_number": "864-455-6900",
"fax_number": "864-255-5619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZ",
"first_name": "DEV",
"middle_name": "GERALD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SC",
"license": "22763",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01053497A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227631",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.