Vimal P Amin, MD
Individual provider Active NPI Gastroenterology Physician · Lancaster, SC
NPI 1366464497 · NPPES record last updated Jul 16, 2013
Key facts
- NPI
- 1366464497
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 20952 (SC)
- Practice address
- 108 Healthcare Dr
Lancaster, SC 29720-8037 - Phone
- (803) 286-9963
- Fax
- (803) 283-6330
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 21
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Bernards Physician Clinics Inc
Musc Community Physicians
Practice addresses (Care Compare)
1005 E Matthews Ave
Jonesboro, AR 72401-4308
Phone (870) 935-1242
1007 E Matthews Ave
Jonesboro, AR 72401-4308
Phone (870) 336-0472
108 Healthcare Dr
Lancaster, SC 29720-8037
Phone (803) 286-9963
225 E Washington Ave
Jonesboro, AR 72401-3111
Phone (970) 207-4100
300 Carson St
Jonesboro, AR 72401-3104
Phone (870) 932-1198
Hospital & facility affiliations
- Musc Health Lancaster Medical Center
- St Bernards Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 27 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 30 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120308000845 | SC | Practitioner - Gastroenterology |
5890771679 | Reassigns benefits to 2 organizations |
| I20250528003759 | AR | Practitioner - Gastroenterology | 5890771679 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current |
Accepting new patients | |
| Musc Community Physicians | Current |
Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current |
Accepting new patients | |
| Carolina Family Care, Inc | Current |
Accepting new patients | |
| Carolina Family Care, Inc | Current |
Accepting new patients | |
| Musc Community Physicians | Current |
Accepting new patients | |
| Musc Community Physicians | Gastroenterology | Current | Accepting new patients |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Past | Accepting new patients | |
| Palmetto Preferred, OB/GYN, LLC | Past | Accepting new patients | |
| Dalton Cardiology, P.C. | Past | Accepting new patients | |
| Regional Medical Center of Orangeburg and Calhoun Counties | Past | Accepting new patients |
Locations
1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
108 Healthcare Dr
Lancaster, SC 29720
Phone (803) 286-9963
1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 20952 | SC | Yes |
Addresses
Primary practice location
108 Healthcare Dr
Lancaster, SC 29720-8037
Mailing address
108 Healthcare Dr
Lancaster, SC 29720-8037
Phone (803) 286-9963
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2815 | Medicaid | SC |
Other providers in Lancaster, SC
- All Generations Social Services, Inc
- Amanda Allen
- Lydia Elise Altman
- Victor M Amato
- Mahmoud Moustafa Ahmed Amin
- Amour 5 LLC
- Naomi Asamoah-Beaufait
- Jane Ashley
- Atlas Physical Therapy Center, LLC
- August M Wallace Enterprises, LLC
All providers in Lancaster, SC · Gastroenterology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.