Individual provider Active NPI

Asutosh S Gor, MD

  • Hematology & Oncology Physician
  • Rock Hill, SC
National Provider Identifier
1407947757
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
23745 Issued in SC
Practice address
1583 Healthcare Drive
Rock Hill, SC 29732
Phone
(803) 329-7772
Fax
(803) 329-9821
NPI assigned
Sep 28, 2006
Last updated
Oct 22, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 23745 SC Primary

Addresses

Primary practice location

1583 Healthcare Drive
Rock Hill, SC 29732

Mailing address

1583 Healthcare Drive
Rock Hill, SC 29732
Phone (803) 329-7772

Other identifiers 1

IdentifierTypeStateIssuer
237452MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20031224000044 SC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5597663757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Blood and Cancer Care Associates PAGroup PAC ID 7719874031, 7 clinicians

Practice addresses (Care Compare)

1583 Health Care Dr
Rock Hill, SC 29732-3858
Phone (803) 329-7772

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Blood and Cancer Care Associates, P.a. CurrentSince Feb 1, 2004 Accepting new patients
Carolina Blood and Cancer Care Associates, P.a. CurrentSince Sep 28, 2021 Accepting new patients

Locations

2403 Charlotte Hwy
Lancaster, SC 29720
Phone (803) 286-9696

1583 Health Care Dr
Rock Hill, SC 29732
Phone (803) 329-7772

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1407947757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 HEALTHCARE DRIVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-329-7772",
            "fax_number": "803-329-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 HEALTHCARE DRIVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-329-7772",
            "fax_number": "803-329-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOR",
        "first_name": "ASUTOSH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "23745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237452",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.