NPIMap

Individual provider Active NPI

Nitin Gaikwad, M.D.

  • Internal Medicine Physician
  • Greenville, SC
National Provider Identifier
1457311433
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17790 Issued in SC
Practice address
800 Pelham Rd
Greenville, SC 29615-3300
Phone
(864) 234-5800
Fax
(864) 284-0844
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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 17790 SC Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 17790 SC

Addresses

Primary practice location

800 Pelham Rd
Greenville, SC 29615-3300

Mailing address

800 Pelham Rd
Greenville, SC 29615-3300
Phone (864) 234-5800

Other identifiers 1

IdentifierTypeStateIssuer
177908MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000908 SC Practitioner - Internal MedicinePractitioner - Sleep Medicine 4981720182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sleep Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine and CardiologyGroup PAC ID 9638135999, 5 clinicians

Practice addresses (Care Compare)

401 Guess St
Suite 100
Greenville, SC 29605-4155
Phone 86423327442427

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as group
Quality
92.53
Improvement activities
40
Cost
82.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine and Cardiology Internal Medicine CurrentSince Jun 24, 2019 Accepting new patients
St Francis Physician Services Inc Internal Medicine Past Accepting new patients
Internal Medicine and Cardiology Past Accepting new patients

Locations

401 Guess St
#100
Greenville, SC 29605
Phone (864) 233-2744

401 Guess St
Ste 100
Greenville, SC 29605
Phone (864) 233-2744

401 Guess St
Greenville, SC 29605

213 E Butler Rd
Mauldin, SC 29662
Phone (864) 346-0391

220 Scuffletown Rd
Simpsonville, SC 29681
Phone 8642332744 ext. 2812

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJFFBA

Organizations & group practices 3

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 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1457311433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153300",
            "telephone_number": "864-234-5800",
            "fax_number": "864-284-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153300",
            "telephone_number": "864-234-5800",
            "fax_number": "864-284-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIKWAD",
        "first_name": "NITIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "17790",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "SC",
            "license": "17790",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177908",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.