Individual provider Active NPI

Vishal Abiraj, MBBS

  • Infectious Disease Physician
  • Bamberg, SC
National Provider Identifier
1356652283
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
36549 Issued in SC
Practice address
185 McGee St
Bamberg, SC 29003-1154
Phone
(803) 956-6100
Fax
(803) 632-1209
NPI assigned
Jun 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 36549 SC Primary

Addresses

Primary practice location

185 McGee St
Bamberg, SC 29003-1154

Mailing address

185 McGee St
Bamberg, SC 29003-1154
Phone (803) 956-6100

Other practice location 1

1481 Tobias Gadson Blvd Ste 1
Charleston, SC 29407-4879
Phone (843) 402-3093

Other identifiers 3

IdentifierTypeStateIssuer
365492MedicaidSC
36549OtherSCMEDICAL LICENSE
SC3469OtherSCMEDICARE

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
I20140814000873 SC Practitioner - Internal Medicine 8820239783 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Low Country Health Care System IncGroup PAC ID 4284530940, shared by 10 NPIs, 33 clinicians
Roper Hospital IncGroup PAC ID 8426958919, 66 clinicians

Practice addresses (Care Compare)

10706 Marlboro Ave
Barnwell, SC 29812-6376
Phone (803) 259-7337

124 Wren St
Barnwell, SC 29812-1527
Phone (803) 259-5762

130 Baker St N
Blackville, SC 29817-2426
Phone (803) 284-1045

1481 Tobias Gadson Blvd
Suite 1
Charleston, SC 29407-4879
Phone (843) 402-3093

185 McGee St
Bamberg, SC 29003-1154
Phone (803) 956-6100

333 Revolutionary TRL
Fairfax, SC 29827-7109
Phone (803) 632-2533

526 N St
Bamberg, SC 29003-1319
Phone (803) 245-2433

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36549SCMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Hospital, Inc. CurrentSince Feb 17, 2020 Accepting new patients
Low Country Health Care System, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Roper Hospital Inc. CurrentSince Feb 17, 2020 Accepting new patients
Low Country Health Care System, Inc CurrentSince Mar 1, 2020 Accepting new patients
Low Country Health Care System, Inc. CurrentSince May 11, 2019 Accepting new patients
Low Country Health Care System, Inc CurrentSince Mar 1, 2020 Accepting new patients
Low Country Health Care System, Inc CurrentSince May 11, 2019 Accepting new patients
Low Country Health Care System, Inc Current Accepting new patients
Low Country Health Care System, Inc CurrentSince Mar 1, 2020 Accepting new patients
Roper Hospital, Inc. Infectious Disease Current Accepting new patients
Low Country Health Care System, Inc CurrentSince Mar 1, 2020 Accepting new patients
Low Country Health Care System, Inc Past Accepting new patients

Locations

526 North St
Bamberg, SC 29003
Phone (803) 245-2433

185 McGee St
Bamberg, SC 29003
Phone (803) 245-4327

124 Wren St
Barnwell, SC 29812
Phone (803) 254-3278

10706 Marlboro Ave
Barnwell, SC 29812
Phone (803) 259-7337

86 Wren St
Barnwell, SC 29812
Phone (803) 259-5762

130 Baker St N
Blackville, SC 29817
Phone (803) 284-1045

1481 Tobias Gadson Blvd
Ste 1
Charleston, SC 29407
Phone (843) 402-0367

333 Revolutionary Trl
Fairfax, SC 29827
Phone (803) 632-2533

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Interoperability endpoints

  • Direct secure messaging: vabiraj1236800@direct.bsmhealth.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1356652283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MCGEE ST",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031154",
            "telephone_number": "803-956-6100",
            "fax_number": "803-632-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MCGEE ST",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031154",
            "telephone_number": "803-956-6100",
            "fax_number": "803-632-1209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1481 Tobias Gadson Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294074879",
            "country_code": "US",
            "telephone_number": "843-402-3093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABIRAJ",
        "first_name": "VISHAL",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "SC",
            "license": "36549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365492",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "36549",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SC3469",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bamberg, SC

Sources for this page

Verify at the official NPI Registry.