Individual provider Active NPI

Robert H Hazelrigg, MD

  • Diagnostic Radiology Physician
  • Myrtle Beach, SC
National Provider Identifier
1598077596
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
32780 Issued in SC
Practice address
1303 Azalea CT
Suite C
Myrtle Beach, SC 29577-5765
Phone
(843) 692-0570
NPI assigned
Jul 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 32780 SC Primary

Addresses

Primary practice location

1303 Azalea CT
Suite C
Myrtle Beach, SC 29577-5765

Mailing address

1303 Azalea CT
Suite C
Myrtle Beach, SC 29577-5765
Phone (843) 692-0570

Other identifiers 1

IdentifierTypeStateIssuer
327809MedicaidSC

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
I20150903001839 SC Practitioner - Diagnostic Radiology 7416263579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Carolina School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Radiology AssociatesGroup PAC ID 7315342185, 32 clinicians

Practice addresses (Care Compare)

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2365

Hospital & facility affiliations

  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

Merit-based Incentive Payment System (MIPS)

Final score
93.51 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Lexington Radiology Associates Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Lexington Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients

Locations

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

1303 Azalea Ct
Ste C
Myrtle Beach, SC 29577
Phone (843) 962-0570

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

Interoperability endpoints

  • Direct secure messaging: rhazelrigg3076@direct.musc.edu
  • Direct secure messaging: rhazelrigg51107@directmcleodehealth.org

Organizations & group practices 3

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 1

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": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1598077596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 AZALEA CT",
            "address_2": "SUITE C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775765",
            "telephone_number": "843-692-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 AZALEA CT",
            "address_2": "SUITE C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775765",
            "telephone_number": "843-692-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELRIGG",
        "first_name": "ROBERT",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-07",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "32780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327809",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.