Active NPI
Katalina Romero Funke, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Ladson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 38288
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382883 | Medicaid | SC |
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
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Medical University of South Carolina College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3495 Iron Horse Rd
Ladson, SC 29456-4319
Phone (843) 820-3453
Hospital & facility affiliations
- Trident Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PPCP Specialty Physicians , LLC | Current | Accepting new patients | |
| PPCP Specialty Physicians , LLC | Current | Accepting new patients | |
| Magnolia Endocrinology, LLC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| PPCP Specialty Physicians , LLC | Endocrinology, Diabetes & Metabolism | Current | 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
- katalina.funke@ppcp1.eclinicaldirectplus.com
- 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.
-
- Gastroenterology Physician
- Goose Creek, SC
- NPI 1780123984
-
- Endocrinology, Diabetes & Metabolism Physician
- Summerville, SC
- NPI 1922639897
-
- Gastroenterology Physician
- Charleston, SC
- NPI 1093585044
-
- Endocrinology, Diabetes & Metabolism Physician
- Ladson, SC
- NPI 1164159547
-
- Endocrinology, Diabetes & Metabolism Physician
- Summerville, SC
- NPI 1841739968
-
- Gastroenterology Physician
- Summerville, SC
- NPI 1861007163
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.