Active NPI
David Julius Zelman, MD
- Rheumatology Physician
- Greenville, SC
National Provider Identifier
1366550337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 83454
- Practice address
- 11402 Anderson Rd Ste a
Greenville, SC 29611-7560 - Phone
- (864) 631-2799
- Fax
- (864) 522-1215
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 037428 | GA | |
| Rheumatology Physician | 207RR0500X | 83454 | SC | Primary |
Addresses
Primary practice location
11402 Anderson Rd Ste a
Greenville, SC 29611-7560
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
200 Crescent Center Pkwy
Department of Rheumatology
Tucker, GA 30084-7047
Phone (770) 496-3549
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 834547 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dzelman84855@direct.ghs.myhfn.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83454 | SC | MD | Clinical Informatics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Butte Indian Health Service Hospital | Current | Accepting new patients |
Interoperability endpoints
- dzelman84855@direct.ghs.myhfn.org
Organizations & group practices 1
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.
-
- Public Health or Welfare Agency
- Eagle Butte, SD
- NPI 1558395848
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1366550337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11402 ANDERSON RD STE A",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296117560",
"telephone_number": "864-631-2799",
"fax_number": "864-522-1215"
}
],
"practiceLocations": [
{
"address_1": "200 Crescent Center Pkwy",
"address_2": "Department of Rheumatology",
"address_purpose": "LOCATION",
"city": "Tucker",
"state": "GA",
"postal_code": "300847047",
"country_code": "US",
"telephone_number": "770-496-3549",
"fax_number": "770-496-3442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZELMAN",
"first_name": "DAVID",
"middle_name": "JULIUS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "GA",
"license": "037428",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "SC",
"license": "83454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "834547",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dzelman84855@direct.ghs.myhfn.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "dzelman84855@direct.ghs.myhfn.org",
"address_1": "11402 Anderson Rd Ste A",
"city": "Greenville",
"state": "SC",
"country_code": "US",
"postal_code": "296117560",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.