NPIMap

Individual provider Active NPI

Patrick Michael Looser, M.D.

  • Interventional Cardiology Physician
  • North Charleston, SC
National Provider Identifier
1508165291
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
52329 Issued in SC
Practice address
4969 Centre Pointe Dr Ste 100
North Charleston, SC 29418
Phone
(843) 853-0250
Fax
(843) 606-8103
NPI assigned
Mar 21, 2011
Last updated
Aug 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 269606 NY
Cardiovascular Disease Physician 207RC0000X 52329 SC
Interventional Cardiology Physician 207RI0011X 52329 SC Primary

Addresses

Primary practice location

4969 Centre Pointe Dr Ste 100
North Charleston, SC 29418

Mailing address

4969 Centre Pointe Dr Ste 100
North Charleston, SC 29418-6975
Phone (843) 853-0250

Other practice location 1

520 E 70th St
Starr 4, ST 443
New York, NY 10021-9800
Phone (212) 746-2150

Other identifiers 1

IdentifierTypeStateIssuer
523295MedicaidSC

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
I20180723002445 SC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2163779190 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Georgetown University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Carolina Multispecialty Associates LLCGroup PAC ID 9931105046, 48 clinicians

Practice addresses (Care Compare)

4969 Centre Pointe Dr
Suite 100
North Charleston, SC 29418-6975
Phone (843) 853-0250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.44 of 100Reported as individual
Quality
84.71
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting36
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
269606NYMDInternal Medicine Physician
52329SCMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Hospital, Inc. Internal Medicine Current Accepting new patients
Roper Hospital Inc. CurrentSince Aug 14, 2018 Accepting new patients
Roper Hospital, Inc. CurrentSince Aug 14, 2018 Accepting new patients
Coastal Carolina Multispecialty Associates, LLC Cardiovascular Disease CurrentSince Dec 22, 2019 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Cardiovascular Disease CurrentSince Aug 14, 2018 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. Internal Medicine CurrentSince Aug 14, 2018 Accepting new patients
Coastal Carolina Multispecialty Assocs, LLC Past Accepting new patients

Locations

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

401 N Live Oak Dr
Ste 3B
Moncks Corner, SC 29461
Phone (843) 853-0250

4969 Centre Pointe Dr
Ste 100
North Charleston, SC 29418
Phone (843) 853-0250

120 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-1421

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: patrick.looser@hca5.eclinicaldirectplus.com

Organizations & group practices 7

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 5

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": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1508165291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4969 CENTRE POINTE DR STE 100",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294186975",
            "telephone_number": "843-853-0250",
            "fax_number": "843-606-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4969 CENTRE POINTE DR STE 100",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29418",
            "telephone_number": "843-853-0250",
            "fax_number": "843-606-8103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 E 70th St",
            "address_2": "Starr 4, ST 443",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100219800",
            "country_code": "US",
            "telephone_number": "212-746-2150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOOSER",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-21",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "269606",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "52329",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "52329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523295",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.