Individual provider Active NPI

Zia U Din, MD

  • Nephrology Physician
  • Anderson, SC
National Provider Identifier
1396740171
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
19964 Issued in SC
Practice address
779 Senate Pkwy
Ste C
Anderson, SC 29621-1820
Phone
(864) 224-8716
Fax
(864) 224-8716
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 19964 SC Primary

Addresses

Primary practice location

779 Senate Pkwy
Ste C
Anderson, SC 29621-1820

Mailing address

779 Senate Pkwy
Anderson, SC 29621-1820
Phone (864) 224-8716

Other identifiers 2

IdentifierTypeStateIssuer
199644MedicaidSC
00302007COtherGAMEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220829001608 NC Practitioner - NephrologyPractitioner - Internal Medicine 5991835530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19964SCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Feb 23, 1998 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince Feb 23, 1998 Accepting new patients
Nephrology & Internal Medicine of Anderson PA Nephrology CurrentSince Mar 5, 1998 Accepting new patients
Fresenius Medical Care Anderson, LLC PastSince Jan 1, 2012 Accepting new patients

Locations

779 Senate Pkwy
Ste C
Anderson, SC 29621
Phone (864) 224-8716

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

779 Senate Pkwy
Anderson, SC 29621
Phone (864) 224-8716

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

Organizations & group practices 5

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1396740171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 SENATE PKWY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211820",
            "telephone_number": "864-224-8716",
            "fax_number": "864-226-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 SENATE PKWY",
            "address_2": "STE C",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211820",
            "telephone_number": "864-224-8716",
            "fax_number": "864-224-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIN",
        "first_name": "ZIA",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "19964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199644",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "00302007C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.