Individual provider Active NPI

Dev Gerald Vaz, MD

  • Cardiovascular Disease Physician
  • Greenville, SC
National Provider Identifier
1174614804
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
22763 Issued in SC
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

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
227631MedicaidSC

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
I20070719000591 SC Practitioner - Cardiovascular Disease (Cardiology) 5294756151 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
01053497AINMDCardiovascular Disease Physician
22763SCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Health System Current Accepting new patients
Greenville Health System CurrentSince Jul 1, 2007 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 56

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 56

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

Verify at the official NPI Registry.