Richmond Prater Allan, MD
Individual provider Active NPI Internal Medicine Physician · Spartanburg, SC
NPI 1366494700 · NPPES record last updated Feb 20, 2017
Key facts
- NPI
- 1366494700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 23773 (SC)
- Practice address
- 1330 Boiling Springs Rd
Suite 2100
Spartanburg, SC 29303-4201 - Phone
- (864) 573-2145
- Fax
- (864) 573-2644
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Maryland School of Medicine, 1985
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Providence House Calls LLC
Practice addresses (Care Compare)
500 Lakeshore Pkwy
Rock Hill, SC 29730-4273
Phone (803) 818-6955
Hospital & facility affiliations
- Spartanburg Regional Home Health
- Interim Healthcare of the Upstate
- Spartanburg Medical Center
- The Gables of Pelham Skilled Nursing & Rehab
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- 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 |
|---|---|---|---|---|
| I20031119000519 | SC | Practitioner - Internal Medicine |
1254245509 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23773 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence House Calls LLC | Current |
Accepting new patients | |
| Mary Black Physicians Group LLC | Internal Medicine | Past | Accepting new patients |
| Network Geriatric Services, PA | Past |
Accepting new patients | |
| Mary Black Health System LLC | Past | Accepting new patients | |
| Mary Black Health System LLC | Past | Accepting new patients | |
| Integrace Health Inc | Past | Accepting new patients |
Locations
500 Lakeshore Pkwy
Rock Hill, SC 29730
Phone (803) 818-6900
634 Fairview Rd
Simpsonville, SC 29680
Phone (843) 851-3126
Interoperability endpoints
- richmond.allan.1@7857.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23773 | SC | Yes |
| Pain Medicine Physician | 208VP0000X | 23773 | SC |
Addresses
Primary practice location
1330 Boiling Springs Rd
Suite 2100
Spartanburg, SC 29303-4201
Mailing address
PO Box 484
Easley, SC 29641-0484
Phone (864) 546-4497
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 237737 | Medicaid | SC | |
| P00386918 | Other | GA | MEDICARE RAILROAD PTAN # |
Other providers in Spartanburg, SC
- Wellesley E Alexander
- Mikhail Alexeev
- Align Services Spartanburg West, LLC
- Align Services Spartanburg West, LLC
- Asrar Iqbal Alimohamed
- Antonio Allen
- Cricket Hull Allen
- Heather Newlin Allen
- Jennifer F Allen
- Julia Snead Allen
All providers in Spartanburg, SC · Internal Medicine 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 Feb 20, 2017. 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.