NPIMap

Individual provider Active NPI

Ivo V. Anguelov, M.D.

  • Internal Medicine Physician
  • Murrells Inlet, SC
National Provider Identifier
1295798031
Registry record updated Feb 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21579 Issued in SC
Practice address
4914 Highway 17
Murrells Inlet, SC 29576-5040
Phone
(843) 357-6734
Fax
(843) 357-6770
NPI assigned
Apr 11, 2006
Last updated
Feb 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2010

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 21579 SC Primary

Addresses

Primary practice location

4914 Highway 17
Murrells Inlet, SC 29576-5040

Mailing address

PO Box 749
Murrells Inlet, SC 29576-0749
Phone (843) 357-6734

Other identifiers 1

IdentifierTypeStateIssuer
GP3580MedicaidSC

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
I20031119000691 SC Practitioner - Internal Medicine 9739093014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dora Anguelova MD PHD PAGroup PAC ID 2163336454, 2 clinicians

Practice addresses (Care Compare)

4914 Hwy 17
Murrells Inlet, SC 29576-5040
Phone (843) 357-6734

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.27 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dora Anguelova, MD, PHD, PA CurrentSince Aug 25, 2003 Accepting new patients

Locations

4914 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-6734

Organizations & group practices 1

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265500800000",
    "number": "1295798031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295760749",
            "telephone_number": "843-357-6734",
            "fax_number": "843-357-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 HIGHWAY 17",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765040",
            "telephone_number": "843-357-6734",
            "fax_number": "843-357-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGUELOV",
        "first_name": "IVO",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "21579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3580",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.