NPIMap

Individual provider Active NPI

A. Thomas Siachos, M.D.

  • Cardiovascular Disease Physician
  • Greenville, SC
National Provider Identifier
1598757171
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
21670 Issued in SC
Practice address
2 Innovation Dr
Suite 400
Greenville, SC 29607-5261
Phone
(864) 235-7665
Fax
(864) 233-5971
NPI assigned
Aug 18, 2005
Last updated
Feb 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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 21670 SC Primary

Addresses

Primary practice location

2 Innovation Dr
Suite 400
Greenville, SC 29607-5261

Mailing address

2 Innovation Dr
Suite 400
Greenville, SC 29607-5261
Phone (864) 235-7665

Other identifiers 1

IdentifierTypeStateIssuer
GP0975MedicaidSC

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
I20040510000891 SC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2769471226 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (513) 853-8520

125 Commonwealth Dr
Greenville, SC 29615-4812
Phone (864) 675-4000

2 Innovation Dr
Suite 330
Greenville, SC 29607-5261
Phone (864) 235-7665

2 Innovation Dr
Suite 400
Greenville, SC 29607-5270
Phone (864) 235-7665

212 Frontage Rd
Clemson, SC 29631-1642
Phone (864) 654-5855

317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901

3970 Grandview Dr
Simpsonville, SC 29680-3163

702 N a St
Easley, SC 29640-2142
Phone (864) 859-9855

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting41
Pacemaker insertion or repair21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Physician Services Inc Cardiovascular Disease CurrentSince Jun 1, 2008 Accepting new patients
St. Francis Hospital, Inc. CurrentSince Aug 13, 2004 Accepting new patients
St Francis Hospital Inc CurrentSince Aug 13, 2004 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince May 21, 2022 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC Cardiovascular Disease CurrentSince May 21, 2022 Accepting new patients
St Francis Physician Services Inc CurrentSince Jun 1, 2008 Accepting new patients
St Francis Physician Services Inc Past Accepting new patients

Locations

702 N A St
Easley, SC 29640
Phone (864) 859-4480

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

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

2 Innovation Dr
Ste 330
Greenville, SC 29607
Phone (864) 235-7665

2 Innovation Dr
Ste 400
Greenville, SC 29607
Phone (864) 235-7665

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

Interoperability endpoints

  • Direct secure messaging: asiachos1155725@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 55

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

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1598757171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 INNOVATION DR",
            "address_2": "SUITE 400",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075261",
            "telephone_number": "864-235-7665",
            "fax_number": "864-233-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INNOVATION DR",
            "address_2": "SUITE 400",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075261",
            "telephone_number": "864-235-7665",
            "fax_number": "864-233-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIACHOS",
        "first_name": "A. THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "21670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0975",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.