Individual provider Active NPI

Kerolos George Rizk, D.O.

  • Internal Medicine Physician
  • Little River, SC
National Provider Identifier
1346621703
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37656 Issued in SC
Practice address
4000 Highway 9 E
Little River, SC 29566-7833
Phone
(843) 366-3891
Fax
(843) 366-3892
NPI assigned
Jun 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LL37656 SC
Hematology & Oncology Physician 207RH0003X 37656 SC
Internal Medicine Physician 207R00000X 37656 SC Primary

Addresses

Primary practice location

4000 Highway 9 E
Little River, SC 29566-7833

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 366-3891

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
I20221112000004 SC Practitioner - Hematology/Oncology 5294042081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Lincoln Memorial University Medical Department, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4000 Hwy 9 E
Suite 250
Little River, SC 29566-7833
Phone (843) 366-3891

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37656SCMDInternal Medicine Physician
LL37656SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Aug 1, 2022 Accepting new patients

Locations

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

4000 Highway 9 E
Little River, SC 29566
Phone (843) 390-8100

4000 Highway 9 E
Ste 250
Little River, SC 29566
Phone (843) 366-3891

Interoperability endpoints

  • Direct secure messaging: krizk21786@directmcleodehealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1346621703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-366-3891",
            "fax_number": "843-366-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HIGHWAY 9 E",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667833",
            "telephone_number": "843-366-3891",
            "fax_number": "843-366-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZK",
        "first_name": "KEROLOS",
        "middle_name": "GEORGE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL37656",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "37656",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "37656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

Verify at the official NPI Registry.