NPIMap

Individual provider Active NPI

John Phillips Hungerford, M.D.

  • Diagnostic Radiology Physician
  • Charleston, SC
National Provider Identifier
1528355658
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34766 Issued in SC
Practice address
169 Ashley Ave
Room 202 Main Hospital Msc333
Charleston, SC 29425-8905
Phone
(843) 792-0337
NPI assigned
Jul 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X LL 34766 SC
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 34766 SC Primary

Addresses

Primary practice location

169 Ashley Ave
Room 202 Main Hospital Msc333
Charleston, SC 29425-8905

Mailing address

169 Ashley Ave
Room 202 Main Hospital Msc333
Charleston, SC 29425-8905
Phone (843) 792-2337

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
I20170525000205 SC Practitioner - Diagnostic Radiology 1850680026 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical University of South Carolina College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgetown RadiologyGroup PAC ID 1153405360, 7 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7441

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.05 of 100Reported as group
Quality
85
Improvement activities
40
Cost
76.83

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL 34766SCMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidelands and Medquest Joint Venture, LLC CurrentSince Oct 1, 2021 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jul 25, 2023 Accepting new patients
Musc Community Physicians Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Tidelands Health Market Common LLC CurrentSince Sep 4, 2019 Accepting new patients
Musc Community Physicians CurrentSince Jan 1, 2026 Accepting new patients
Georgetown Radiology Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Georgetown Radiology Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients

Locations

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

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

169 Ashley Ave
Rm 202
Charleston, SC 29425
Phone (843) 792-0192

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

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 and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1310256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1528355658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE",
            "address_2": "ROOM 202 MAIN HOSPITAL MSC333",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258905",
            "telephone_number": "843-792-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE",
            "address_2": "ROOM 202 MAIN HOSPITAL MSC333",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258905",
            "telephone_number": "843-792-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNGERFORD",
        "first_name": "JOHN",
        "middle_name": "PHILLIPS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-10",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "SC",
            "license": "LL 34766",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "34766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.