Individual provider Active NPI

Katalina Romero Funke, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Ladson, SC
National Provider Identifier
1386024099
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
38288 Issued in SC
Practice address
3495 Iron Horse Rd
Ladson, SC 29456-4319
Phone
(843) 820-3453
Fax
(843) 594-5405
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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 LL38288 SC
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 38288 SC Primary

Addresses

Primary practice location

3495 Iron Horse Rd
Ladson, SC 29456-4319

Mailing address

3495 Iron Horse Rd
Ladson, SC 29456-4319
Phone (843) 820-3453

Other identifiers 1

IdentifierTypeStateIssuer
382883MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220325001902 SC Practitioner - EndocrinologyPractitioner - Internal Medicine 8325348865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Medical University of South Carolina College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PPCP Specialty Physicians , LLCGroup PAC ID 2466723028, 20 clinicians

Practice addresses (Care Compare)

3495 Iron Horse Rd
Ladson, SC 29456-4319
Phone (843) 820-3453

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PPCP Specialty Physicians , LLC CurrentSince Nov 14, 2022 Accepting new patients
PPCP Specialty Physicians , LLC Current Accepting new patients
Magnolia Endocrinology, LLC Endocrinology, Diabetes & Metabolism CurrentSince Apr 1, 2022 Accepting new patients
PPCP Specialty Physicians , LLC Endocrinology, Diabetes & Metabolism CurrentSince Nov 14, 2022 Accepting new patients
PPCP Specialty Physicians, LLC Past Accepting new patients
PPCP Specialty Physicians , LLC Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

7 S Alliance Dr
Ste 202A
Goose Creek, SC 29445
Phone (843) 376-6070

3495 Iron Horse Rd
Ladson, SC 29456
Phone (843) 793-5970

Interoperability endpoints

  • Direct secure messaging: katalina.funke@ppcp1.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FHFACD

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1386024099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 IRON HORSE RD",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564319",
            "telephone_number": "843-820-3453",
            "fax_number": "843-594-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 IRON HORSE RD",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564319",
            "telephone_number": "843-820-3453",
            "fax_number": "843-594-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNKE",
        "first_name": "KATALINA",
        "middle_name": "ROMERO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL38288",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SC",
            "license": "38288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382883",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladson, SC

Sources for this page

Verify at the official NPI Registry.