Individual provider Active NPI

Victor Cunha Coelho, MD

  • Internal Medicine Physician
  • Fort Mill, SC
National Provider Identifier
1407904428
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51873 Issued in SC
Practice address
704 Gold Hill Rd Ste 215
Fort Mill, SC 29715-8907
Phone
(803) 835-0420
NPI assigned
Jan 8, 2007
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51873 SC Primary
Internal Medicine Physician 207R00000X 2018-02846 NC

Addresses

Primary practice location

704 Gold Hill Rd Ste 215
Fort Mill, SC 29715-8907

Mailing address

704 Gold Hill Rd Ste 215
Fort Mill, SC 29715-8907
Phone (803) 835-0420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC, SC3 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
I20070817000311 CA Practitioner - Internal Medicine 6800988023 Reassigns benefits to 5 organizations
I20190130000210 NC Practitioner - Internal Medicine 6800988023
I20251008001601 SC Practitioner - Internal Medicine 6800988023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

704 Gold Hill Rd
Fort Mill, SC 29715-8906
Phone (803) 835-0420

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-02846NCMDInternal Medicine Physician
51873SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Internal Medicine CurrentSince Aug 11, 2025 Accepting new patients
Temecula Valley Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Oct 20, 2016 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Feb 16, 2017 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Feb 16, 2017 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 11, 2025 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince May 24, 2016 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Healthcare Crossing Corporation Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Inpatient Providers Medical Group Inc. CurrentSince Aug 1, 2012 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Victor C. Coelho, MD, Inc. Past Accepting new patients
Ximed Hospitalists, Inc. Past Accepting new patients

Locations

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

39765 Date St
Ste 100
Murrieta, CA 92563
Phone (951) 279-0100

39765 Date St
Ste 102
Murrieta, CA 92563
Phone (951) 897-7665

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

10650 Park Rd
Ste 420
Charlotte, NC 28210
Phone (704) 302-7800

1550 Faulk St
Ste 1500
Monroe, NC 28112
Phone (704) 302-9700

704 Gold Hill Rd
Fort Mill, SC 29715
Phone (704) 381-3282

704 Gold Hill Rd
Ste 203
Fort Mill, SC 29715
Phone (803) 835-0405

704 Gold Hill Rd
Ste 215
Fort Mill, SC 29715
Phone (803) 835-0420

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

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1407904428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 GOLD HILL RD STE 215",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158907",
            "telephone_number": "803-835-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 GOLD HILL RD STE 215",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158907",
            "telephone_number": "803-835-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COELHO",
        "first_name": "VICTOR",
        "middle_name": "CUNHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "51873",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2018-02846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.