NPIMap

Individual provider Active NPI

Roberto Fulvio Ferraro, MD

  • Urology Physician
  • Conway, SC
National Provider Identifier
1396788733
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
9801645 Issued in NC
Practice address
135 Professional Park Dr
Conway, SC 29526-9261
Phone
(843) 347-8724
NPI assigned
Jun 14, 2006
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 9801645 NC Primary

Addresses

Primary practice location

135 Professional Park Dr
Conway, SC 29526-9261

Mailing address

135 Professional Park Dr
Conway, SC 29526-9261
Phone (843) 347-2450

Other practice location 1

101 E Wt Harris Blvd
Suite 5202
Charlotte, NC 28262-3485
Phone (704) 547-1495

Other identifiers 4

IdentifierTypeStateIssuer
891225YMedicaidNC
1225YOtherNCINDIVIDUAL BC/BS NC #
31669OtherNCPARTNERS MEDICARE #
340018702OtherNCINDIVIDUAL RAILROAD MCR #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051006000832 NC Practitioner - Urology 9739113739 Reassigns benefits to 2 organizations
I20210513002404 SC Practitioner - Urology 9739113739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Rush Medical College of Rush University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

101 McLeod Health Blvd
Suite 201
Myrtle Beach, SC 29579-4477
Phone (843) 646-8001

107 McLeod Health Blvd
Myrtle Beach, SC 29579-4477

115 McLeod Health Blvd
Myrtle Beach, SC 29579-4477

3112 Casey St
Unit a
Loris, SC 29569-2858
Phone (843) 366-3920

3600 Sea Mountain Hwy
Suite B
Little River, SC 29566-8161
Phone (843) 366-3920

3655 Mitchell St
Loris, SC 29569-2827
Phone (843) 777-7000

4000 Hwy 9 E
Little River, SC 29566-7833
Phone (843) 777-7000

4000 Hwy 9 W
Suite 245
Little River, SC 29566-7833
Phone (843) 366-2940

800 E Cheves St
Florence, SC 29506-2650

800 E Cheves St
Florence, SC 29506-2652

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9801645NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center Current Accepting new patients
Atlantic Urology Clinics LLC Urology CurrentSince May 21, 2021 Accepting new patients
Stone Institute of the Carolinas LLC Urology CurrentSince Aug 30, 1999 Accepting new patients
Carolinas Medical Center CurrentSince Jan 1, 2007 Accepting new patients
McLeod Physician Associates II Urology CurrentSince Feb 1, 2024 Accepting new patients
Atlantic Urology Clinics LLC CurrentSince May 21, 2021 Accepting new patients
McLeod Physician Associates II CurrentSince Feb 1, 2024 Accepting new patients
Carolinas Medical Center CurrentSince Jan 1, 2007 Accepting new patients
Urology Specialists of the Carolinas PastSince May 26, 2024 Accepting new patients
McLeod Physician Associates II Past Accepting new patients

Locations

2270 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 344-2391

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

135 Professional Park Dr
Conway, SC 29526
Phone (843) 347-8724

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

3911 Highway 17
Murrells Inlt, SC 29576
Phone (843) 299-2140

823 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 449-1010

Interoperability endpoints

  • Direct secure messaging: rferraro28695@directmcleodehealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1396788733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PROFESSIONAL PARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269261",
            "telephone_number": "843-347-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PROFESSIONAL PARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269261",
            "telephone_number": "843-347-8724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Wt Harris Blvd",
            "address_2": "Suite 5202",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282623485",
            "country_code": "US",
            "telephone_number": "704-547-1495",
            "fax_number": "704-547-1861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRARO",
        "first_name": "ROBERTO",
        "middle_name": "FULVIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "9801645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891225Y",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BC/BS NC #",
            "identifier": "1225Y",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE #",
            "identifier": "31669",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL RAILROAD MCR #",
            "identifier": "340018702",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.