Active NPI
Ihor V Melnytskyy, M.D.
- Anesthesiology Physician
- Conway, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35.130854
- Practice address
- 300 Singleton Ridge Road
Conway Medical Center
Conway, SC 29526 - Phone
- (843) 347-7111
- NPI assigned
- May 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | TL30811 | SC | |
| Anesthesiology Physician | 207L00000X | 35.130854 | OH | Primary |
| Anesthesiology Physician | 207L00000X | 81569 | WI | |
| Anesthesiology Physician | 207L00000X | 2026-00175 | NC |
Addresses
Primary practice location
300 Singleton Ridge Road
Conway Medical Center
Conway, SC 29526
Mailing address
1921 Sandgate CT
Naperville, IL 60565-2306
Phone (630) 946-6885
Other practice location 1
800 Tilghman Dr
Dunn, NC 28334-5510
Phone (910) 892-1000
Other practice location 2
1805 27th St
Portsmouth, OH 45662-2640
Phone (740) 356-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100228786 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, SC, WI, OH, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130411000357 | IL | Practitioner - Anesthesiology | 7315183654 | Reassigns benefits to 3 organizations |
| I20130917000370 | SC | Practitioner - Anesthesiology | 7315183654 | Reassigns benefits to 8 organizations |
| I20230418000660 | WI | Practitioner - Anesthesiology | 7315183654 | Reassigns benefits to 1 organization |
| I20251119000243 | OH | Practitioner - Anesthesiology | 7315183654 | Reassigns benefits to 1 organization |
| I20260501000163 | NC | Practitioner - Anesthesiology | 7315183654 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 Blarney Dr
Columbia, SC 29223-6244
Phone (803) 865-8200
1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8681
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000
Hospital & facility affiliations
- Grand Strand Regional Medical Center
- St Marys Hospital
- Southern Ohio Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026-00175 | NC | MD | Anesthesiology Physician |
| 35.130854 | OH | MD | Anesthesiology Physician |
| TL30811 | SC | MD | Anesthesiology Physician |
| 81569 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Coastal Healthcare Resources Inc | Anesthesiology | Current | Accepting new patients |
| Tidelands Anesthesia Group LLC | Anesthesiology | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Carle Bromenn Medical Center | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Elite Pain Management, LLC | Current | Accepting new patients | |
| Carle Health Care Incorporated | Anesthesiology | Current | Accepting new patients |
| Atlantic Coast Anesthesia Services P.C. | Anesthesiology | Current | Accepting new patients |
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Beach Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Elite Pain Management, LLC | Current | Accepting new patients | |
| Carle Bromenn Medical Center | Current | Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Anesthesiology | Current | Accepting new patients |
| Anesthesia Pain Services LLC | Anesthesiology | Past | Accepting new patients |
| Carle Health Care Incorporated | Past | Accepting new patients | |
| Anesthesia Network Services, LLC | Anesthesiology | Past | Accepting new patients |
Locations (25 of 28)
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121
1300 Franklin Ave
Ste 100
Normal, IL 61761
Phone (309) 268-3503
1302 Franklin Ave
Normal, IL 61761
Phone (309) 268-5867
1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
222 E Primrose St
Ste E
Springfield, MO 65807
Phone (417) 553-1080
101 W 27th St
Lumberton, NC 28358
Phone (910) 739-0770
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200
300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946
400 N Cashua Dr
Florence, SC 29501
Phone (843) 664-9398
606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000
1000 Medical Center Dr
Hardeeville, SC 29927
Phone (843) 784-8138
25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345
4237 River Hills Dr
Ste 170
Little River, SC 29566
Phone (843) 273-0376
2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200
3545 Highway 17
Murrells Inlt, SC 29576
Phone (843) 294-1941
101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194
8212 Devon Ct
Myrtle Beach, SC 29572
Phone (843) 273-0379
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
Interoperability endpoints
- imelnytskyymd265367@carlehiedirect.net
Organizations & group practices 24
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.
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1932641313
Anesthesiology, SC
-
- Anesthesiology Physician
- Hilton Head Island, SC
- NPI 1639995830
Anesthesiology, SC
-
- Anesthesiology Physician
- Florence, SC
- NPI 1467635128
Anesthesiology, SC
-
- Anesthesiology Physician
- Georgetown, SC
- NPI 1144017781
Anesthesiology, SC
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Anesthesiology, IL
-
- Certified Registered Nurse Anesthetist
- Camden, SC
- NPI 1710480280
SC
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
Hospital
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1326041229
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1184882789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 SANDGATE CT",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605652306",
"telephone_number": "630-946-6885",
"fax_number": "864-455-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SINGLETON RIDGE ROAD",
"address_2": "CONWAY MEDICAL CENTER",
"city": "CONWAY",
"state": "SC",
"postal_code": "29526",
"telephone_number": "843-347-7111"
}
],
"practiceLocations": [
{
"address_1": "800 Tilghman Dr",
"address_purpose": "LOCATION",
"city": "Dunn",
"state": "NC",
"postal_code": "283345510",
"country_code": "US",
"telephone_number": "910-892-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1805 27th St",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "OH",
"postal_code": "456622640",
"country_code": "US",
"telephone_number": "740-356-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELNYTSKYY",
"first_name": "IHOR",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-30",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "TL30811",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35.130854",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "81569",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "2026-00175",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100228786",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.