Individual provider Active NPI

William F Vogenitz, MD

  • Physical Medicine & Rehabilitation Physician
  • Anderson, SC
National Provider Identifier
1184684433
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
23454 Issued in SC
Practice address
1 Springback Way
Anderson, SC 29621
Phone
(864) 716-2662
Fax
(864) 716-2627
NPI assigned
Mar 23, 2006
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 23454 SC Primary

Addresses

Primary practice location

1 Springback Way
Anderson, SC 29621

Mailing address

P O Box 504903
St Louis, MO 63150-4903
Phone (864) 716-2662

Other identifiers 1

IdentifierTypeStateIssuer
T77930MedicaidSC

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
I20050721000057 SC Practitioner - Physical Medicine and Rehabilitation 3173550332 Reassigns benefits to 1 organization
Practice locations: Anderson, SC

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Louisiana State University School of Medicine in New Orleans, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Spring Back Way
Anderson, SC 29621-2676
Phone (864) 716-2662

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 Medicine

State licenses

LicenseStateTypeSpecialty
23454SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William F Vogenitz MD Physical Medicine & Rehabilitation CurrentSince Jun 5, 2023 Accepting new patients

Locations

1 Spring Back Way
Anderson, SC 29621
Phone (864) 512-2830

1 Spring Back Way
Ste A
Anderson, SC 29621

Organizations & group practices 1

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 8

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1184684433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 504903",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631504903",
            "telephone_number": "864-716-2662",
            "fax_number": "864-716-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPRINGBACK WAY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "29621",
            "telephone_number": "864-716-2662",
            "fax_number": "864-716-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGENITZ",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "23454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T77930",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.