Active NPI
Zachary Chadnick, M.D.
- Vascular Surgery Physician
- Sumter, SC
National Provider Identifier
1366977415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 91231
- Practice address
- 115 N Sumter St Ste 300
Sumter, SC 29150-4967 - Phone
- (803) 775-1550
- Fax
- (803) 775-7258
- NPI assigned
- Apr 26, 2017
- Reactivated
- Dec 7, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Vascular Surgery Physician | 2086S0129X | 91231 | SC | Primary |
| Vascular Surgery Physician | 2086S0129X | 71828 | CT |
Addresses
Primary practice location
115 N Sumter St Ste 300
Sumter, SC 29150-4967
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
80 Seymour St
Hartford, CT 06106-3300
Phone (860) 545-5000
Other practice location 2
263 Farmington Ave
Farmington, CT 06030-0002
Phone (860) 679-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240916003303 | SC | Practitioner - Vascular Surgery | 8921343625 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3 Richland Medical Park Dr
Suite 330
Columbia, SC 29203-6862
Phone (803) 434-4790
Hospital & facility affiliations
- Prisma Health Richland Hospital
- Prisma Health Tuomey Hospital
- Prisma Health Baptist
- Prisma Health Baptist Parkridge
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.55 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 11 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
| Leg revascularization (restoring blood flow) | 20 |
| Removal of tissue | 36 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71828 | CT | MD | Vascular Surgery Physician |
| 91231 | SC | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients |
Locations
1333 Taylor St
Ste 1B
Columbia, SC 29201
Phone (803) 254-6391
3 Richland Medical Park Dr
Ste 330
Columbia, SC 29203
Phone (803) 434-7100
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249
115 N Sumter St
Ste 300
Sumter, SC 29150
Phone (803) 775-1550
Interoperability endpoints
- zchadnick809701@direct.ghs.myhfn.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Sumter, SC
- NPI 1871080283
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, SC
- NPI 1962471946
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1366977415",
"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": "115 N SUMTER ST STE 300",
"city": "SUMTER",
"state": "SC",
"postal_code": "291504967",
"telephone_number": "803-775-1550",
"fax_number": "803-775-7258"
}
],
"practiceLocations": [
{
"address_1": "80 Seymour St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061063300",
"country_code": "US",
"telephone_number": "860-545-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "263 Farmington Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060300002",
"country_code": "US",
"telephone_number": "860-679-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHADNICK",
"first_name": "ZACHARY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-26",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"deactivation_date": "2017-11-27",
"reactivation_date": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "SC",
"license": "91231",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CT",
"license": "71828",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.