Individual provider Active NPI

Mark Joseph Krzyston, M.D.

  • Cardiovascular Disease Physician
  • Orangeburg, SC
National Provider Identifier
1508923194
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
SC12677 Issued in SC
Practice address
1175 Cook Rd
Ste 225
Orangeburg, SC 29118-8201
Phone
(803) 534-8723
Fax
(803) 536-0030
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X SC12677 SC Primary

Addresses

Primary practice location

1175 Cook Rd
Ste 225
Orangeburg, SC 29118-8201

Mailing address

1175 Cook Rd
Ste 225
Orangeburg, SC 29118-8201
Phone (803) 534-8723

Other identifiers 1

IdentifierTypeStateIssuer
PA4003MedicaidSC

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
I20120419000464 SC Practitioner - Cardiovascular Disease (Cardiology) 2264574326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

1097 Cook Rd
Orangeburg, SC 29118-8209
Phone (803) 395-3370

1103 Cook Rd
Orangeburg, SC 29118-8204
Phone (803) 395-3044

111 John Lawson Ave
Santee, SC 29142-8654
Phone (803) 395-2070

1137 Cook Rd
Orangeburg, SC 29118-8204
Phone (803) 395-3411

1161 Cook Rd
Orangeburg, SC 29118-8204
Phone (803) 395-4600

1175 Cook Rd
Orangeburg, SC 29118-8201
Phone (843) 792-1414

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians Current Accepting new patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Cardiovascular Disease Current Accepting new patients
Edisto Regional Health Services Inc CurrentSince Jan 20, 1996 Accepting new patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1175 Cook Rd
Ste 230
Orangeburg, SC 29118
Phone (803) 395-3844

1137 Cook Rd
Orangeburg, SC 29118
Phone (803) 395-2579

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

1175 Cook Rd
Orangeburg, SC 29118
Phone (803) 395-2579

1175 Cook Rd
Ste 225
Orangeburg, SC 29118
Phone (803) 395-3430

1175 Cook Rd
Ste 320
Orangeburg, SC 29118
Phone (803) 395-3960

Interoperability endpoints

  • Direct secure messaging: mkrzyston442638@direct.musc.edu

Organizations & group practices 6

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 10

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1508923194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 COOK RD",
            "address_2": "STE 225",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291188201",
            "telephone_number": "803-534-8723",
            "fax_number": "803-536-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 COOK RD",
            "address_2": "STE 225",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291188201",
            "telephone_number": "803-534-8723",
            "fax_number": "803-536-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRZYSTON",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "SC12677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA4003",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.