Individual provider Active NPI

Mincs Elie Calixte, M.D.

  • Internal Medicine Physician
  • Greenville, SC
National Provider Identifier
1215990338
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
237248 Issued in NY
Practice address
58 Bear Dr
Greenville, SC 29605-4458
Phone
(914) 646-4393
Fax
(864) 469-2437
NPI assigned
Apr 10, 2006
Last updated
Jul 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 237248 NY Primary

Addresses

Primary practice location

58 Bear Dr
Greenville, SC 29605-4458

Mailing address

16 Galway Dr
Greer, SC 29650-0980
Phone (914) 646-4393

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
I20210318002759 SC Practitioner - Internal Medicine 5092724542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Florida College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

58 Bear Dr
Greenville, SC 29605-4458
Phone (864) 252-8066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
237248NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choice MD Health and Wellness, LLC CurrentSince Feb 1, 2021 Accepting new patients
Medical Research Associates,PC Internal Medicine Past Accepting new patients

Locations

30 Memorial Medical Dr
Ste 126
Greenville, SC 29605
Phone (864) 252-8009

58 Bear Dr
Greenville, SC 29605
Phone (864) 252-8066

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHEADD/Endpoint/CHEADD
  • Direct secure messaging: mincs.calixte@oconeeregional.gadirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1215990338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GALWAY DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296500980",
            "telephone_number": "914-646-4393",
            "fax_number": "864-469-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 BEAR DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054458",
            "telephone_number": "914-646-4393",
            "fax_number": "864-469-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALIXTE",
        "first_name": "MINCS",
        "middle_name": "ELIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "237248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.