Individual provider Active NPI

Ezra B Riber, M.D.

  • Interventional Pain Medicine Physician
  • Columbia, SC
National Provider Identifier
1487610697
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
13894 Issued in SC
Practice address
1655 Bernardin Ave
Suite 240
Columbia, SC 29204-2044
Phone
(803) 779-3263
Fax
(803) 779-3207
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 13894 SC Primary

Addresses

Primary practice location

1655 Bernardin Ave
Suite 240
Columbia, SC 29204-2044

Mailing address

PO Box 198978
Atlanta, GA 30384-8978
Phone (803) 779-3263

Other identifiers 2

IdentifierTypeStateIssuer
138942MedicaidSC
050076865OtherSCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070111000551 SC Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 8820098098 Reassigns benefits to 1 organization
I20150820011487 GA Practitioner - Interventional Pain Management 8820098098 Practice locations: Cumming, GA

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Interventional Pain Management
Education
University of Cincinnati College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Pain Management LLCGroup PAC ID 9234307521, 11 clinicians

Practice addresses (Care Compare)

2611 Forest Dr
Suite 200
Columbia, SC 29204-2371
Phone (803) 779-3263

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Pain Management LLC Interventional Pain Medicine CurrentSince Mar 13, 2011 Accepting new patients
American Anesthesiology of South Carolina, LLC Past Accepting new patients
Carolina Interventional Pain Institute, LLC PastSince Jan 6, 2018 Accepting new patients

Locations

2611 Forest Dr
Ste 100
Columbia, SC 29204
Phone (803) 779-3263

2611 Forest Dr
Ste 200
Columbia, SC 29204
Phone (803) 779-3263

1655 Bernardin Ave
Ste 240
Columbia, SC 29204
Phone (803) 779-3263

Interoperability endpoints

  • Direct secure messaging: ezra.riber.2@17099.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17099/brand/4/csg/1/fhir/r4
  • Direct secure messaging: ezra.riber.1@17099.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1487610697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198978",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848978",
            "telephone_number": "803-779-3263",
            "fax_number": "803-779-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 BERNARDIN AVE",
            "address_2": "SUITE 240",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042044",
            "telephone_number": "803-779-3263",
            "fax_number": "803-779-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBER",
        "first_name": "EZRA",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "13894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138942",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050076865",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.