Active NPI
Kurt R Budelmann, M.D.
- Internal Medicine Physician
- Greenville, SC
National Provider Identifier
1295760973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18971
- Practice address
- 21 Aberdeen Dr
Greenville, SC 29605-2955 - Phone
- (864) 242-4122
- Fax
- (864) 242-5867
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18971 | SC | Primary |
Addresses
Primary practice location
21 Aberdeen Dr
Greenville, SC 29605-2955
Mailing address
PO Box 743294
Atlanta, GA 30374-3294
Phone (864) 242-4122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189717 | Medicaid | SC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100408000106 | SC | Practitioner - Internal Medicine | 1658407242 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- State University of Ny Upstate Medical University, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Francis Physician Services Inc
Practice addresses (Care Compare)
1200 Brookfield Blvd
Suite 400B
Greenville, SC 29607-6583
Phone (864) 605-3721
309 W Butler Rd
Mauldin, SC 29662-2531
Phone (864) 297-1575
Hospital & facility affiliations
- St Francis-Downtown
- Prisma Health Greenville Memorial Hospital
- Prisma Health Patewood Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Physician Services Inc | Current | Accepting new patients | |
| St Francis Physician Services Inc | Internal Medicine | Current | Accepting new patients |
| St Francis Physician Services Inc | Internal Medicine | Past | Accepting new patients |
| Self Medical Group | Internal Medicine | Past | Accepting new patients |
| Self Medical Group | Past | Accepting new patients | |
| Self Medical Group | Past | Accepting new patients |
Locations
21 Aberdeen Dr
Greenville, SC 29605
Phone (864) 213-4927
1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721
5 S Lewis Plz
Greenville, SC 29605
Phone (864) 242-4122
Interoperability endpoints
- kbudelmann1149813@direct.bsmhealth.org
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Greenville, SC
- NPI 1871895771
Internal Medicine, SC
-
- Otolaryngology Physician
- Greenville, SC
- NPI 1508168410
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
- Surgery Physician
- Greenwood, SC
- NPI 1982836847
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
Internal Medicine
Hospital & facility affiliations 50
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1295760973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743294",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743294",
"telephone_number": "864-242-4122",
"fax_number": "864-242-5867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 ABERDEEN DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296052955",
"telephone_number": "864-242-4122",
"fax_number": "864-242-5867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDELMANN",
"first_name": "KURT",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "18971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189717",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.