Individual provider Active NPI

Robert Franklin Sisson III, M.D.

  • Cardiovascular Disease Physician
  • Charleston, SC
National Provider Identifier
1629097878
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
51125 Issued in SC
Practice address
171 Ashley Ave
Charleston, SC 29425-3222
Phone
(843) 792-6200
NPI assigned
Jul 19, 2006
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 51125 SC Primary
Interventional Cardiology Physician 207RI0011X 51125 SC
Interventional Cardiology Physician 207RI0011X 0101234876 VA

Addresses

Primary practice location

171 Ashley Ave
Charleston, SC 29425-3222

Mailing address

PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200

Other practice location 1

13700 St Francis Blvd
Suite 600
Midlothian, VA 23114
Phone (804) 794-6400

Other practice location 2

13700 St Francis Blvd
Suite 600
Midlothian, VA 23114
Phone (804) 794-6400

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
I20180305000203 SC Practitioner - Cardiovascular Disease (Cardiology) 8820063126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
62.41
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101234876VAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Cardiovascular Disease Current Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Jan 11, 2018 Accepting new patients
Bon Secours St Marys Hospital of Richmond LLC Past Accepting new patients
Virginia Cardiovascular Specialists Past Accepting new patients
Virginia Cardiovascular Specialists Cardiovascular Disease Past Accepting new patients
Pinehurst Cardiology Consultants PLLC Cardiovascular Disease Past Accepting new patients
Cardiovascular Associates of Virginia, P.C. Past Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1629097878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294253222",
            "telephone_number": "843-792-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13700 St Francis Blvd",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "23114",
            "country_code": "US",
            "telephone_number": "804-794-6400",
            "fax_number": "804-897-0910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13700 St Francis Blvd",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "23114",
            "country_code": "US",
            "telephone_number": "804-794-6400",
            "fax_number": "804-897-0910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISSON",
        "first_name": "ROBERT",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "51125",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "51125",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101234876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.