NPIMap

Individual provider Active NPI

Sara Pope Ruiz, M.D.

  • Obstetrics & Gynecology Physician
  • Greenville, SC
National Provider Identifier
1578891420
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
82285 Issued in SC
Practice address
105 Halton Village Cir Ste a
Greenville, SC 29607-6832
Phone
(864) 234-1433
Fax
(864) 286-1462
NPI assigned
Dec 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 82285 SC Primary

Addresses

Primary practice location

105 Halton Village Cir Ste a
Greenville, SC 29607-6832

Mailing address

105 Halton Village Cir Ste a
Greenville, SC 29607-6832
Phone (864) 234-1433

Other identifiers 1

IdentifierTypeStateIssuer
822854MedicaidSC

Other names 1

  • Sara Catherine Pope Former name

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
I20190814003725 SC Practitioner - Obstetrics/Gynecology 4981977469 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Mercer University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

1801 2ND Ave
Summerville, SC 29486-7908
Phone (843) 797-3664

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82285SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC Obstetrics & Gynecology CurrentSince Apr 6, 2021 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC Obstetrics & Gynecology CurrentSince Feb 1, 2024 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Feb 1, 2024 Accepting new patients
Obhg South Carolina PC Obstetrics & Gynecology CurrentSince Jan 13, 2022 Accepting new patients
Whap, PA Obstetrics & Gynecology Past Accepting new patients
SSM Depaul Medical Group, Inc. Past Accepting new patients

Locations

1027 Physicians Dr
Ste 110
Charleston, SC 29414
Phone (843) 740-6700

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

105 Halton Village Cir
Ste A
Greenville, SC 29607
Phone (864) 234-1433

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

Interoperability endpoints

  • Direct secure messaging: sara.ruiz.1@7773.direct.athenahealth.com

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 6

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": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1578891420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HALTON VILLAGE CIR STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076832",
            "telephone_number": "864-234-1433",
            "fax_number": "864-286-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HALTON VILLAGE CIR STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076832",
            "telephone_number": "864-234-1433",
            "fax_number": "864-286-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "SARA",
        "middle_name": "POPE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "82285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "822854",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "POPE",
            "middle_name": "CATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.