NPIMap

Individual provider Active NPI

Sebastiano Antonio Virgadamo, D.O

  • Interventional Cardiology Physician
  • Spartanburg, SC
National Provider Identifier
1336439074
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
51923 Issued in SC
Practice address
1083 Boiling Springs Rd
Spartanburg, SC 29303-2248
Phone
(864) 583-8647
Fax
(864) 542-2227
NPI assigned
Apr 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 51923 SC Primary

Addresses

Primary practice location

1083 Boiling Springs Rd
Spartanburg, SC 29303-2248

Mailing address

1083 Boiling Springs Rd
Spartanburg, SC 29303-2248
Phone (864) 583-8647

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
I20180815000063 SC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1557634854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians
Pelham Medical CenterGroup PAC ID 2365519097, 132 clinicians

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6193

1083 Boiling Springs Rd
Spartanburg, SC 29303-2248
Phone (864) 583-8647

250 Westmoreland Rd
Greer, SC 29651-9013
Phone (864) 530-2108

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting40
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
Pelham Medical Center Interventional Cardiology CurrentSince May 20, 2023 Accepting new patients
Pelham Medical Center CurrentSince May 20, 2023 Accepting new patients
Spartanburg Medical Center CurrentSince Sep 1, 2022 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Interventional Cardiology CurrentSince Sep 1, 2022 Accepting new patients
Spartanburg Medical Center CurrentSince Dec 3, 2023 Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

1075 Boiling Springs Rd
Ste A
Spartanburg, SC 29303
Phone (864) 583-8647

1083 Boiling Springs Rd
Spartanburg, SC 29303
Phone (803) 583-8647

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

1690 Skylyn Dr
Ste 230
Spartanburg, SC 29307
Phone (864) 583-8647

Organizations & group practices 8

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.

Hospital & facility affiliations 9

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": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1336439074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 BOILING SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032248",
            "telephone_number": "864-583-8647",
            "fax_number": "864-542-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 BOILING SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032248",
            "telephone_number": "864-583-8647",
            "fax_number": "864-542-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRGADAMO",
        "first_name": "SEBASTIANO",
        "middle_name": "ANTONIO",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "51923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.