NPIMap

Individual provider Active NPI

Edward M. Tavel Jr., M.D.

  • Pain Medicine Physician
  • Charleston, SC
National Provider Identifier
1508833468
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
16626 Issued in SC
Practice address
2695 Elms Plantation Blvd.
Suite a
Charleston, SC 29406
Phone
(843) 818-1181
Fax
(843) 818-1145
NPI assigned
Feb 28, 2006
Last updated
Aug 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 16626 SC
Pain Medicine Physician 208VP0000X 16626 SC Primary

Addresses

Primary practice location

2695 Elms Plantation Blvd.
Suite a
Charleston, SC 29406

Mailing address

2695 Elms Plantation Blvd.
Suite a
Charleston, SC 29406
Phone (843) 818-1181

Other identifiers 1

IdentifierTypeStateIssuer
166262MedicaidSC

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
I20050107000203 SC Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 8729045315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Medical University of South Carolina College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Specialists of CharlestonGroup PAC ID 6002971165, 17 clinicians

Practice addresses (Care Compare)

135 Sea Island Pkwy
Beaufort, SC 29907-1500
Phone (843) 818-1181

15 Monckton Blvd
Columbia, SC 29206-4700
Phone (843) 818-1181

150 Wall St
Suite a
Pawleys Island, SC 29585-5000
Phone (843) 818-1181

2695 Elms Plantation Blvd
Suite a
North Charleston, SC 29406-7132
Phone (843) 818-1181

2695 Elms Plantation Blvd a
North Charleston, SC 29406-7132

Hospital & facility affiliations

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
Pain Specialists of Charleston CurrentSince Dec 16, 2008 Accepting new patients
Pain Specialists of Charleston PA Anesthesiology CurrentSince Dec 16, 2008 Accepting new patients
Mobile Anesthesia, LLC Anesthesiology Past Accepting new patients
Trident Anesthesia Group, LLC Anesthesiology Past Accepting new patients
Pain Specialists of Charleston Past Accepting new patients
Pain Specialists of Charleston Past Accepting new patients
Pain Specialists of Charleston Past Accepting new patients
Palmetto Anesthesia of Charleston, LLC Anesthesiology Past Accepting new patients

Locations

2791 Tricom St
North Charleston, SC 29406
Phone (843) 797-3711

2695 Elms Plantation Blvd
Ste A
North Charleston, SC 29406
Phone (843) 818-1181

Organizations & group practices 9

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 3

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1508833468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ELMS PLANTATION BLVD.",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-818-1181",
            "fax_number": "843-818-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 ELMS PLANTATION BLVD.",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-818-1181",
            "fax_number": "843-818-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVEL",
        "first_name": "EDWARD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "16626",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "SC",
            "license": "16626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166262",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.