NPIMap

Individual provider Active NPI

Richmond Prater Allan, MD

  • Internal Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1366494700
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23773 Issued in 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
Last updated
Feb 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23773 SC Primary
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

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
I20031119000519 SC Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1254245509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of Maryland School of Medicine, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Providence House Calls LLCGroup PAC ID 1759528250, 20 clinicians

Practice addresses (Care Compare)

500 Lakeshore Pkwy
Rock Hill, SC 29730-4273
Phone (803) 818-6955

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23773SCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Providence House Calls LLC CurrentSince Sep 10, 2019 Accepting new patients
Mary Black Health System LLC Past Accepting new patients
Mary Black Physicians Group LLC Internal Medicine Past Accepting new patients
Integrace Health Inc Past Accepting new patients
Network Geriatric Services, PA PastSince Apr 1, 2006 Accepting new patients
Mary Black Health System LLC 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

  • Direct secure messaging: richmond.allan.1@7857.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1366494700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 484",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296410484",
            "telephone_number": "864-546-4497",
            "fax_number": "864-546-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BOILING SPRINGS RD",
            "address_2": "SUITE 2100",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034201",
            "telephone_number": "864-573-2145",
            "fax_number": "864-573-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAN",
        "first_name": "RICHMOND",
        "middle_name": "PRATER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "23773",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "SC",
            "license": "23773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.