Individual provider Active NPI

Rudolf Jan Jokl, MD

  • Emergency Medicine Physician
  • Hartsville, SC
National Provider Identifier
1417065467
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
17202 Issued in SC
Practice address
1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710
Phone
(770) 874-5400
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 17202 SC
Emergency Medicine Physician 207P00000X 17202 SC Primary

Addresses

Primary practice location

1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710

Mailing address

769 Dragoon Dr
Mount Pleasant, SC 29464-3016
Phone (843) 881-8770

Other identifiers 1

IdentifierTypeStateIssuer
T13367MedicaidSC

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
I20040625000950 SC Practitioner - Emergency MedicinePractitioner - Internal MedicinePractitioner - Endocrinology 9739165283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Endocrinology, Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians

Practice addresses (Care Compare)

301 E Jackson St
Dillon, SC 29536-2509
Phone (843) 367-5690

Hospital & facility affiliations

  • McLeod Medical Center - Dillon Hospital, Dillon, SC, CCN 420005
  • McLeod Health Clarendon Hospital, Manning, SC, CCN 420109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17202SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RJ Health, LLC Endocrinology, Diabetes & Metabolism CurrentSince Apr 18, 2012 Accepting new patients
App of South Carolina Ed PLLC Emergency Medicine CurrentSince Oct 31, 2017 Accepting new patients
Pee Dee Foot Center, PA PastSince Jul 25, 1999 Accepting new patients
Williamsburg Regional Hospital Past Accepting new patients
Emergency Physician Specialists Inc Emergency Medicine Past Accepting new patients
Santee Cooper Urgent Care Inc Past Accepting new patients
Marlboro Emergency Group PC Emergency Medicine Past Accepting new patients

Locations

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

1014 Professional Ct
Manning, SC 29102
Phone (803) 433-7262

Interoperability endpoints

  • Direct secure messaging: rjokl25465@directmcleodehealth.org

Organizations & group practices 8

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.

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1417065467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 DRAGOON DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643016",
            "telephone_number": "843-881-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 W BOBO NEWSOM HWY",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504710",
            "telephone_number": "770-874-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOKL",
        "first_name": "RUDOLF",
        "middle_name": "JAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SC",
            "license": "17202",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "17202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T13367",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, SC

Sources for this page

Verify at the official NPI Registry.