Individual provider Active NPI

Robert John Ornelas, MD

  • Psychiatry Physician
  • West Columbia, SC
National Provider Identifier
1497860159
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
23376 Issued in SC
Practice address
160 Medical Cir
First Floor
West Columbia, SC 29169-3612
Phone
(803) 796-6811
Fax
(803) 796-6851
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 23376 SC Primary

Addresses

Primary practice location

160 Medical Cir
First Floor
West Columbia, SC 29169-3612

Mailing address

214 Leventis LN
Lexington, SC 29072-3962
Phone (803) 808-4441

Other identifiers 1

IdentifierTypeStateIssuer
233768MedicaidSC

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
I20051018000907 SC Practitioner - Psychiatry 1759307853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of South Carolina School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Psychiatric Services IncGroup PAC ID 5991792046, 6 clinicians
South Carolina Dept of Mental Health Accounting OfficeGroup PAC ID 9032021175, 226 clinicians

Practice addresses (Care Compare)

160 Medical Cir
FL 1
West Columbia, SC 29169-3639
Phone 803796681111

7901 Farrow Rd
Columbia, SC 29203-3220
Phone (803) 935-6040

Hospital & facility affiliations

  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Psychiatry Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office Psychiatry CurrentSince Jul 9, 2020 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jul 9, 2020 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Carolina Psychiatric Services, Inc Psychiatry CurrentSince Jul 1, 2008 Accepting new patients

Locations

610 Faison Dr
Columbia, SC 29203
Phone (803) 898-8523

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

1800 Colonial Dr
Columbia, SC 29203
Phone (803) 898-0123

220 Faison Dr
Columbia, SC 29203
Phone (803) 898-1662

7901 Farrow Rd
Columbia, SC 29203
Phone (803) 734-7846

301 Palmetto Park Blvd
Lexington, SC 29072
Phone (803) 359-3545

160 Medical Cir
Fl 1
West Columbia, SC 29169
Phone (803) 796-6811

Organizations & group practices 5

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 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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1497860159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 LEVENTIS LN",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723962",
            "telephone_number": "803-808-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MEDICAL CIR",
            "address_2": "FIRST FLOOR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693612",
            "telephone_number": "803-796-6811",
            "fax_number": "803-796-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNELAS",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "23376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233768",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.