Individual provider Active NPI

Hina Anjum, MD

  • Family Medicine Physician
  • Inman, SC
National Provider Identifier
1336409986
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37899 Issued in SC
Practice address
575 Ingles Dr
Inman, SC 29349-8314
Phone
(864) 342-4090
Fax
(864) 578-7098
NPI assigned
May 16, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical Center 1,060 clinicians

Practice addresses (Care Compare)

3981 Hwy 9
Boiling Springs, SC 29316-8578
Phone (864) 560-3650

Hospital & facility affiliations

  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007
  • Pelham Medical Center Hospital, Greer, SC, CCN 420103

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151014001603 SC Practitioner - Family Practice 7315256344 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6646NEMDPediatric Dentist
37899SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center CurrentSince Feb 22, 2021 Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Feb 22, 2021 Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

3981 Highway 9
Boiling Springs, SC 29316
Phone (864) 560-3650

3941 Highway 9
#B
Boiling Springs, SC 29316
Phone (864) 585-2765

575 Ingles Dr
Inman, SC 29349
Phone (864) 342-4090

2995 Reidville Rd
Spartanburg, SC 29301
Phone (864) 253-8140

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

511 Cross Anchor Rd
Woodruff, SC 29388
Phone (864) 278-6031

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6646 NE
Family Medicine Physician 207Q00000X 37899 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

575 Ingles Dr
Inman, SC 29349-8314

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304

Other practice location 1

2995 Reidville Rd
Spartanburg, SC 29301-5628
Phone (864) 587-3000

Other practice location 2

University Of Nebraska Medical Ctr
Dept of family Medicine, 983075 Nebraska Med Center
Omaha, NE 68198-3075
Phone (402) 559-5641

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
378996MedicaidSC
SC66826084OtherSCMEDICARE PIN

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address hanjum179683@direct-srhs.et0939.epichosted.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 17, 2020.

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1336409986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 INGLES DR",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293498314",
            "telephone_number": "864-342-4090",
            "fax_number": "864-578-7098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2995 Reidville Rd",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293015628",
            "country_code": "US",
            "telephone_number": "864-587-3000",
            "fax_number": "864-574-4138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "University Of Nebraska Medical Ctr",
            "address_2": "Dept of family Medicine, 983075 Nebraska Med Center",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681983075",
            "country_code": "US",
            "telephone_number": "402-559-5641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANJUM",
        "first_name": "HINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "6646",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "37899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378996",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC66826084",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hanjum179683@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "hanjum179683@direct-srhs.et0939.epichosted.com",
            "address_1": "575 Ingles Dr",
            "city": "Inman",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293498314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Inman, SC

Sources for this page

Verify at the official NPI Registry.