Ronnie W Neuberg, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

12049 Issued in SC

Practice address

112 Saluda Ridge CT Ste 200
West Columbia, SC 29169-3461

Phone

(803) 794-0200

Fax

(803) 794-0404

NPI assigned

Mar 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Hematology/OncologyAlso: Pediatric Medicine

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intramed Plus Infusion and Medical Center, LLCGroup PAC ID 3577998715, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Intramed Plus Infusion & Medical Center, LLC

  • Clinic/Center
  • West Columbia, SC
  • NPI 1063053833
  Medicare reassignment Care Compare group NPD
• Intramed Plus Infusion & Medical Services, PA

  • Infusion Therapy Clinic/Center
  • Greenville, SC
  • NPI 1760038848
  NPD (past)
• Option Care Infusion Suites, LLC

  • Nurse Practitioner
  • Murray, UT
  • NPI 1164194601
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1457328932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SALUDA RIDGE CT STE 200",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693461",
            "telephone_number": "803-794-0200",
            "fax_number": "803-794-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SALUDA RIDGE CT STE 200",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693461",
            "telephone_number": "803-794-0200",
            "fax_number": "803-794-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Medical Park Rd",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036873",
            "country_code": "US",
            "telephone_number": "803-434-3533",
            "fax_number": "803-434-3094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Woodruff Rd Ste G24",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296075735",
            "country_code": "US",
            "telephone_number": "803-794-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUBERG",
        "first_name": "RONNIE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "SC",
            "license": "12049",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "12049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120498",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry W. Nelson, M.D.
• Nephron Pharmacy LLC
• Nephron SC Inc
• Caleb Nerison
• Jade Jovanna Nettles
• Amanda Neuman
• Neuroshield Network SE LLC
• Tristan W Neville, DPT
• New Chapter Counseling, LLC
• Jessica E Newell, NP-C

• Pediatrics Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.