NPIMap

Individual provider Active NPI

Ma Cheryl Sarmiento, MD

  • Internal Medicine Physician
  • Greenville, SC
National Provider Identifier
1639102288
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17244 Issued in SC
Practice address
309 Tanner Rd
Greenville, SC 29607-5923
Phone
(864) 640-0009
Fax
(864) 558-0589
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17244 SC Primary

Addresses

Primary practice location

309 Tanner Rd
Greenville, SC 29607-5923

Mailing address

309 Tanner Rd
Greenville, SC 29607-5923
Phone (864) 640-0009

Other identifiers 1

IdentifierTypeStateIssuer
GP3070MedicaidSC

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
I20061116000544 SC Practitioner - Internal Medicine 4385642891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctor for Life, LLCGroup PAC ID 2264668540, 2 clinicians

Practice addresses (Care Compare)

309 Tanner Rd
Greenville, SC 29607-5923
Phone 86464000095

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17244SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor for Life, LLC Internal Medicine CurrentSince Nov 1, 2013 Accepting new patients
St Francis Physician Services Inc Internal Medicine Past Accepting new patients
St Francis Physician Services Inc Internal Medicine Past Accepting new patients

Locations

1202 E Butler Rd
Greenville, SC 29607
Phone (864) 627-3800

309 Tanner Rd
Greenville, SC 29607
Phone (864) 640-0009

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 54

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

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1639102288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 TANNER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075923",
            "telephone_number": "864-640-0009",
            "fax_number": "864-558-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 TANNER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075923",
            "telephone_number": "864-640-0009",
            "fax_number": "864-558-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARMIENTO",
        "first_name": "MA CHERYL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "17244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3070",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.