Primary Medical Association, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIMARY MEDICAL ASSOCIATION, P.A.

Practice address

1787 Ebenezer Rd
Rock Hill, SC 29732-1101

Phone

(803) 324-7777

Fax

(803) 324-8787

NPI assigned

Dec 13, 2006

Last updated

Jul 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sushil Kumar Das, MDNPI 1659353811

Title

President

Phone

(803) 324-7777

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sushil Kumar Das, M.D.

  • Internal Medicine Physician
  • Rock Hill, SC
  • NPI 1659353811
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1174684112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 SNYDER ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297327721",
            "telephone_number": "803-324-7777",
            "fax_number": "803-324-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321101",
            "telephone_number": "803-324-7777",
            "fax_number": "803-324-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MEDICAL ASSOCIATION, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "SUSHIL",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-324-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2808",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.