Active NPI
Robert H Hazelrigg, MD
- Diagnostic Radiology Physician
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 32780
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 327809 | Medicaid | SC |
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
Enrollment records 1
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
Practice addresses (Care Compare)
2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2365
Hospital & facility affiliations
- Lexington Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.51 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 78.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Lexington Radiology Associates | Diagnostic Radiology | Current | 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
- rhazelrigg3076@direct.musc.edu
- 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.
-
- Diagnostic Radiology Physician
- West Columbia, SC
- NPI 1063095628
-
- Diagnostic Radiology Physician
- Conway, SC
- NPI 1225014657
-
- Diagnostic Radiology Physician
- West Columbia, SC
- NPI 1699701284
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.