NPIMap

Individual provider Active NPI

David Alexandre Chetrit, MD

  • Rheumatology Physician
  • Myrtle Beach, SC
National Provider Identifier
1285155010
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A170202 Issued in CA
Practice address
945 82ND Pkwy
Myrtle Beach, SC 29572-4612
Phone
(843) 497-5929
Fax
(877) 316-4124
NPI assigned
Jul 1, 2017
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A170202 CA 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

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
I20220609001493 SC Practitioner - Rheumatology 2264810894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2017
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)

4591 Socastee Blvd
Myrtle Beach, SC 29588-7209
Phone (843) 497-5929

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A170202CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Strand Physician Specialists, PA Internal Medicine Current Accepting new patients
Strand Physician Specialists, PA Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Strand Physician Specialists, PA Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Strand Physician Specialists, PA Internal Medicine Past Accepting new patients

Locations

4591 Socastee Blvd
Myrtle Beach, SC 29588

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

945 82nd Pkwy
Myrtle Beach, SC 29572

Interoperability endpoints

  • Direct secure messaging: david.chetrit.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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1498867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1285155010",
    "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": "877-316-4124"
        },
        {
            "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": "877-316-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHETRIT",
        "first_name": "DAVID",
        "middle_name": "ALEXANDRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-01",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A170202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.