Individual provider Active NPI

David Julius Zelman, MD

  • Rheumatology Physician
  • Greenville, SC
National Provider Identifier
1366550337
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
83454 Issued in SC
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

Updated by the provider on May 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
834547MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200319001119 TX Practitioner - Rheumatology 0941499503 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83454SCMDClinical Informatics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Butte Indian Health Service Hospital CurrentSince Jan 25, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.