NPIMap

Individual provider Active NPI

Anthony Paul Dinicola, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Simpsonville, SC
National Provider Identifier
1326245606
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
PENDING Issued in SC
Practice address
206 Elstar Loop Rd
Simpsonville, SC 29681-6503
Phone
(304) 261-9646
NPI assigned
Jun 29, 2007
Last updated
Jul 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116018195 VA
Physical Medicine & Rehabilitation Physician 208100000X PENDING SC
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X PENDING SC Primary

Addresses

Primary practice location

206 Elstar Loop Rd
Simpsonville, SC 29681-6503

Mailing address

206 Elstar Loop Rd
Simpsonville, SC 29681-6503

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
I20111003000600 SC Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 7214009810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
West Virginia University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee Medical CenterGroup PAC ID 5991041212, shared by 8 NPIs, 38 clinicians

Practice addresses (Care Compare)

1330 Boiling Springs Rd
Suite 1600
Spartanburg, SC 29303-4219
Phone (864) 582-6396

722 Hyatt St
Gaffney, SC 29341-2644
Phone (864) 487-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.8 of 100Reported as individual
Quality
70.19
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGSCMDFamily Nurse Practitioner
0116018195VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Orthopaedic and Neurosurgical Associates CurrentSince Aug 1, 2011 Accepting new patients
Carolina Orthopaedic and Neurosurgical Associates CurrentSince Aug 1, 2011 Accepting new patients

Locations

115 Deacon Tiller Ct
Duncan, SC 29334
Phone (864) 582-6396

1330 Boiling Springs Rd
Ste 1600
Spartanburg, SC 29303
Phone (864) 582-6396

1347 Boiling Springs Rd
Spartanburg, SC 29303

Interoperability endpoints

  • Direct secure messaging: anthony.dinicola.md.1@26879.direct.athenahealth.com

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.

Hospital & facility affiliations 6

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1326245606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ELSTAR LOOP RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296816503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ELSTAR LOOP RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296816503",
            "telephone_number": "304-261-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINICOLA",
        "first_name": "ANTHONY",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116018195",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "SC",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.