Individual provider Active NPI

Andre Becker Uflacker, M.D.

  • Vascular & Interventional Radiology Physician
  • Savannah, GA
National Provider Identifier
1396970323
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
95854 Issued in GA
Practice address
4750 Waters Ave Ste 500
Savannah, GA 31404-6261
Phone
(912) 629-7800
Fax
(912) 355-1414
NPI assigned
May 19, 2009
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Vascular & Interventional Radiology Physician 2085R0204X 0101252849 VA
Vascular & Interventional Radiology Physician 2085R0204X 81911 SC
Vascular & Interventional Radiology Physician 2085R0204X 95854 GA Primary

Addresses

Primary practice location

4750 Waters Ave Ste 500
Savannah, GA 31404-6261

Mailing address

PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151123000955 VA Practitioner - Interventional Radiology 5294963088 Reassigns benefits to 1 organization
I20190501001801 SC Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5294963088 Reassigns benefits to 4 organizations
I20230816001843 GA Practitioner - Interventional Radiology 5294963088

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Medical University of South Carolina College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowcountry Urology Clinics, PAGroup PAC ID 6406869247, 14 clinicians

Practice addresses (Care Compare)

1844 Wallace School Rd
Charleston, SC 29407-4822
Phone (843) 725-4415

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.11 of 100Reported as group
Quality
51.32
Promoting interoperability
98
Improvement activities
40
Cost
79.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95854GAMDVascular & Interventional Radiology Physician
81911SCMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Imaging, LLC CurrentSince Nov 8, 2015 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Carolina Family Care, Inc CurrentSince Apr 11, 2019 Accepting new patients
Savannah Vascular Institute, LLC Vascular & Interventional Radiology CurrentSince Sep 1, 2023 Accepting new patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
Carolina Family Care, Inc CurrentSince Apr 11, 2019 Accepting new patients
University of Virginia Imaging, LLC CurrentSince Nov 8, 2015 Accepting new patients
University of Virginia Imaging, LLC Current Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Apr 11, 2019 Accepting new patients
Lowcountry Urology Clinics, PA CurrentSince Jan 1, 2025 Accepting new patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
Lowcountry Urology Clinics PA CurrentSince Jan 1, 2025 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Apr 11, 2019 Accepting new patients

Locations

4750 Waters Ave
Ste 500
Savannah, GA 31404
Phone (912) 350-5961

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

1844 Wallace School Rd
Charleston, SC 29407
Phone (843) 556-2545

641 Saint Andrews Blvd
Charleston, SC 29407
Phone (843) 577-6015

1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653

2687 Lake Park Dr
North Charleston, SC 29406
Phone (843) 572-0097

2000 1st Ave
Summerville, SC 29486
Phone (843) 876-7930

545 Ray C Hunt Dr
Ste 140
Charlottesvle, VA 22903
Phone (434) 243-9198

1015 Spring Creek Pkwy
#130
Zion Crossroads, VA 22942
Phone (434) 243-9198

Interoperability endpoints

  • Direct secure messaging: andre.uflacker.d1.p1@direct.savannahvascular.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1396970323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE STE 500",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046261",
            "telephone_number": "912-629-7800",
            "fax_number": "912-355-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UFLACKER",
        "first_name": "ANDRE",
        "middle_name": "BECKER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101252849",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "SC",
            "license": "81911",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "95854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.