NPIMap

Individual provider Active NPI

Ami S Vaidya, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Conway, SC
National Provider Identifier
1346534773
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
88826 Issued in SC
Practice address
176 Waccamaw Medical Park CT
Conway, SC 29526-8965
Phone
(843) 234-6888
Fax
(843) 234-6889
NPI assigned
Jun 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 88826 SC
Sleep Medicine (Internal Medicine) Physician 207RS0012X 88826 SC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 88826 SC Primary

Addresses

Primary practice location

176 Waccamaw Medical Park CT
Conway, SC 29526-8965

Mailing address

300 Singleton Ridge Rd
Attention PNS Credentialing
Conway, SC 29526-9142

Other practice location 1

6010 Highway 707
Suite 300
Myrtle Beach, SC 29588-7321
Phone (843) 234-6888

Other practice location 2

2376 Cypress Cir
Ste 100
Conway, SC 29526-8964
Phone (843) 234-6888

Other practice location 3

2701 Church St
Ste D
Conway, SC 29526-4422
Phone (843) 234-6888

Other identifiers 1

IdentifierTypeStateIssuer
888267MedicaidSC

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
I20221215000775 SC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3971875485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Hospital IncGroup PAC ID 7113839606, 127 clinicians

Practice addresses (Care Compare)

2376 Cypress Cir
Suite 100
Conway, SC 29526-8964
Phone (843) 234-6888

Hospital & facility affiliations

  • Conway Medical Center Hospital, Conway, SC, CCN 420049
  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085

Merit-based Incentive Payment System (MIPS)

Final score
52.78 of 100Reported as group
Quality
55.48
Improvement activities
0
Cost
74.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88826SCMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Hospital, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Conway Hospital, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Conway Hospital, Inc. Past Accepting new patients

Locations

394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

176 Waccamaw Medical Park Ct
Conway, SC 29526
Phone (843) 234-6888

2701 Church St
Ste D
Conway, SC 29526
Phone (843) 234-6888

2376 Cypress Cir
Ste 100
Conway, SC 29526
Phone (843) 234-6888

Interoperability endpoints

  • Direct secure messaging: avaidya284853@direct.englewoodhealth.org

Organizations & group practices 3

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 14

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

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1346534773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTENTION PNS CREDENTIALING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 WACCAMAW MEDICAL PARK CT",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268965",
            "telephone_number": "843-234-6888",
            "fax_number": "843-234-6889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6010 Highway 707",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295887321",
            "country_code": "US",
            "telephone_number": "843-234-6888",
            "fax_number": "843-234-6889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2376 Cypress Cir",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268964",
            "country_code": "US",
            "telephone_number": "843-234-6888",
            "fax_number": "843-234-6889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 Church St",
            "address_2": "Ste D",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295264422",
            "country_code": "US",
            "telephone_number": "843-234-6888",
            "fax_number": "843-234-6889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAIDYA",
        "first_name": "AMI",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "88826",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "SC",
            "license": "88826",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "88826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888267",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.