Individual provider Active NPI

Robert Charles Gish III, M.D.

  • Diagnostic Radiology Physician
  • Chapel Hill, NC
National Provider Identifier
1477932283
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
88291 Issued in SC
Practice address
101 Manning Dr # 7510
Chapel Hill, NC 27514-4220
Phone
(256) 755-2815
NPI assigned
May 26, 2015
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X 88291 SC Primary

Addresses

Primary practice location

101 Manning Dr # 7510
Chapel Hill, NC 27514-4220

Mailing address

101 Manning Dr CB# 7510 W2107 Old Clinic
Chapel Hill, NC 27599-4220
Phone (919) 966-4180

Other practice location 1

840 Montclair Rd
Suite 317
Birmingham, AL 35213-1920
Phone (205) 599-4822

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
I20220923002022 SC Practitioner - Diagnostic Radiology 8628491842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Alabama School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Radiology AssociatesGroup PAC ID 7315342185, 32 clinicians

Practice addresses (Care Compare)

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2365

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.51 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88291SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Radiology Associates Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Baptist Health System, Inc. Past Accepting new patients
Lexington Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients

Locations

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

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 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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1477932283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MANNING DR CB# 7510 W2107 OLD CLINIC",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275994220",
            "telephone_number": "919-966-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR # 7510",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "256-755-2815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Montclair Rd",
            "address_2": "Suite 317",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352131920",
            "country_code": "US",
            "telephone_number": "205-599-4822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GISH",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "88291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.