NPIMap

Individual provider Active NPI

Debby T Desalvo, D.O.

  • Nephrology Physician
  • Myrtle Beach, SC
National Provider Identifier
1225034192
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
890 Issued in SC
Practice address
945 82ND Pkwy
Myrtle Beach, SC 29572-4612
Phone
(843) 497-5929
Fax
(866) 778-9068
NPI assigned
Jun 24, 2005
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 890 SC
Nephrology Physician 207RN0300X 890 SC Primary

Addresses

Primary practice location

945 82ND Pkwy
Myrtle Beach, SC 29572-4612

Mailing address

PO Box 3439
North Myrtle Beach, SC 29582-0439
Phone (843) 839-4447

Other identifiers 1

IdentifierTypeStateIssuer
008904MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041218000156 SC Practitioner - NephrologyPractitioner - Internal Medicine 2365409661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strand Physician Specialists PAGroup PAC ID 1153226576, 56 clinicians

Practice addresses (Care Compare)

945 82ND Pkwy
Myrtle Beach, SC 29572-4612
Phone (843) 497-5929

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
890SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Strand Physician Specialists, PA Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients
Strand Physician Specialists, PA Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients
Strand Physician Specialists, PA Internal Medicine Past Accepting new patients
Total Renal Care Inc PastSince Nov 18, 2013 Accepting new patients

Locations

90 Cloverleaf Dr
Longs, SC 29568

90 Cloverleaf Dr
Ste 302306
Longs, SC 29568

1350 Farrow Pkwy
Myrtle Beach, SC 29577

3919 Mayfair St
Myrtle Beach, SC 29577
Phone (843) 448-4920

4591 Socastee Blvd
Myrtle Beach, SC 29588

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

906 Medical Cir
Myrtle Beach, SC 29572

945 82nd Pkwy
Myrtle Beach, SC 29572

Interoperability endpoints

  • Direct secure messaging: debby.desalvo.1@842.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1225034192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3439",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295820439",
            "telephone_number": "843-839-4447",
            "fax_number": "843-399-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724612",
            "telephone_number": "843-497-5929",
            "fax_number": "866-778-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESALVO",
        "first_name": "DEBBY",
        "middle_name": "T",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "890",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008904",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.