Individual provider Active NPI

Rodrigo Garcia de la Torre Astudillo, M.D.

  • Pediatrics Physician
  • Charleston, SC
National Provider Identifier
1629459920
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD52215 Issued in SC
Practice address
2051 Charlie Hall Blvd
Charleston, SC 29414
Phone
(843) 573-2535
Fax
(843) 573-2534
NPI assigned
Jun 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD52215 SC Primary

Addresses

Primary practice location

2051 Charlie Hall Blvd
Charleston, SC 29414

Mailing address

2051 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone (843) 573-2535

Other practice location 1

2015 2nd Ave # 101
Summerville, SC 29486-7881
Phone (843) 737-9465

Other practice location 2

776 Daniel Ellis Dr. Bldg 2
Suite A
Charleston, SC 29412-2946
Phone (843) 795-8100

Other practice location 3

1952 Long Grove Dr Ste 202
Mount Pleasant, SC 29464-7579
Phone (843) 971-2992

Other practice location 4

9165 University Blvd Ste 100
North Charleston, SC 29406-7133
Phone (843) 284-4255

Other identifiers 1

IdentifierTypeStateIssuer
522152MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

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
I20250407001012 SC Practitioner - Pediatric Medicine 8527582030 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD52215SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc Pediatrics CurrentSince Mar 1, 2025 Accepting new patients
Carolina Family Care, Inc Pediatrics CurrentSince Mar 1, 2025 Accepting new patients
Seacoast Pediatrics Past Accepting new patients
Carolina Family Care, Inc Pediatrics Past Accepting new patients
Coastal Pediatric Associates, P.a. Pediatrics PastSince Apr 1, 2021 Accepting new patients

Locations

2067 Charlie Hall Blvd
Charleston, SC 29414
Phone 8435732535 ext. 3215

2051 Charlie Hall Blvd
Charleston, SC 29414
Phone (843) 573-2535

1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653

1952 Long Grove Dr
Ste 202
Mt Pleasant, SC 29464
Phone (843) 573-2535

Interoperability endpoints

  • Direct secure messaging: rgarciadelatorreastudillo245396@direct.musc.edu
  • Direct secure messaging: rodrigo.garcia.de.la.torre.astudillo.1@1152.direct.athenahealth.com
  • Direct secure messaging: direct@direct.musc.edu

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1629459920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-573-2535",
            "fax_number": "843-573-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29414",
            "telephone_number": "843-573-2535",
            "fax_number": "843-573-2534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 2nd Ave # 101",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294867881",
            "country_code": "US",
            "telephone_number": "843-737-9465",
            "fax_number": "843-737-9466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "776 Daniel Ellis Dr. Bldg 2",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294122946",
            "country_code": "US",
            "telephone_number": "843-795-8100",
            "fax_number": "843-722-3010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1952 Long Grove Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294647579",
            "country_code": "US",
            "telephone_number": "843-971-2992",
            "fax_number": "843-971-2998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9165 University Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294067133",
            "country_code": "US",
            "telephone_number": "843-284-4255",
            "fax_number": "843-284-4256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA DE LA TORRE ASTUDILLO",
        "first_name": "RODRIGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "MD52215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522152",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "776 Daniel Ellis Dr. Bldg 2",
            "address_2": "Suite A",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294122946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.