NPIMap

Individual provider Active NPI

Robert Erik Hartvigsen, M.D.

  • Family Medicine Physician
  • Columbia, SC
National Provider Identifier
1386604601
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13110 Issued in SC
Practice address
3000 NE Medical Park
Suite 101
Columbia, SC 29223-6251
Phone
(803) 736-0731
Fax
(803) 736-0753
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13110 SC Primary

Addresses

Primary practice location

3000 NE Medical Park
Suite 101
Columbia, SC 29223-6251

Mailing address

115 Blarney Dr
Suite 212
Columbia, SC 29223-6291
Phone (803) 736-0731

Other identifiers 1

IdentifierTypeStateIssuer
131100MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114001007 SC Practitioner - Family Practice 9032138524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 Wildewood Park Dr
Columbia, SC 29223-4300
Phone (803) 736-0745

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13110SCMDFamily Medicine Physician
13110NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandhills Family Medicine, PC Family Medicine CurrentSince Sep 1, 2006 Accepting new patients
Providence Family Practice LLC Family Medicine PastSince Aug 1, 2012 Accepting new patients

Locations

3000 NE Medical Park
Ste 101
Columbia, SC 29223
Phone (803) 736-0731

100 Wildewood Park Dr
Columbia, SC 29223
Phone (803) 736-0731

Interoperability endpoints

  • Direct secure messaging: robert.hartvigsen.1@23039.direct.athenahealth.com
  • Direct secure messaging: rhartvigsen380522@direct.musc.edu

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Heartsong HospiceColumbia, SC, CCN 421656 Hospice Contracted Managing Employee May 17, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1386604601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BLARNEY DR",
            "address_2": "SUITE 212",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236291",
            "telephone_number": "803-736-0731",
            "fax_number": "803-736-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NE MEDICAL PARK",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236251",
            "telephone_number": "803-736-0731",
            "fax_number": "803-736-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTVIGSEN",
        "first_name": "ROBERT",
        "middle_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "13110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131100",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.