Active NPI
Pinky Subhash Vaidya, M.D.
- Rheumatology Physician
- Little River, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 40833
- Practice address
- 3980 Highway 9 E Ste 340
Little River, SC 29566-8165 - Phone
- (843) 366-3040
- Fax
- (843) 366-3041
- NPI assigned
- Jul 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | MD15487 | RI | |
| Rheumatology Physician | 207RR0500X | 40833 | SC | Primary |
Addresses
Primary practice location
3980 Highway 9 E Ste 340
Little River, SC 29566-8165
Mailing address
PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7120
Other practice location 1
50 Maude St
Floor 2
Providence, RI 02908-4325
Phone (401) 456-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pinky.vaidya@mpaii.eclinicaldirectplus.com | Direct |
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
- Rheumatology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 McLeod Health Blvd
Suite 201
Myrtle Beach, SC 29579-4477
Phone (843) 646-8001
107 McLeod Health Blvd
Myrtle Beach, SC 29579-4477
115 McLeod Health Blvd
Myrtle Beach, SC 29579-4477
2021 N Myrtle Point Blvd
North Myrtle Beach, SC 29582-2224
Phone (843) 366-3060
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000
800 E Cheves St
Florence, SC 29506-2650
800 E Cheves St
Florence, SC 29506-2652
Hospital & facility affiliations
- McLeod Regional Medical Center-Pee Dee
- McLeod Loris Hospital
- Grand Strand Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40833 | SC | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| McLeod Physician Associates II | Current | Accepting new patients |
Locations
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
506 E Cheves St
#202
Florence, SC 29506
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
3980 Highway 9 E
Ste 340
Little River, SC 29566
Phone (843) 390-8302
2021 N Myrtle Point Blvd
Ste 102
North Myrtle Beach, SC 29582
Phone (843) 366-3030
Interoperability endpoints
- pinky.vaidya@mpaii.eclinicaldirectplus.com
- pvaidya19160@directmcleodehealth.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Florence, SC
- NPI 1801990494
-
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
-
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
-
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
-
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1639467152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3239",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295023239",
"telephone_number": "843-777-7120",
"fax_number": "843-777-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 HIGHWAY 9 E STE 340",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295668165",
"telephone_number": "843-366-3040",
"fax_number": "843-366-3041"
}
],
"practiceLocations": [
{
"address_1": "50 Maude St",
"address_2": "Floor 2",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029084325",
"country_code": "US",
"telephone_number": "401-456-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAIDYA",
"first_name": "PINKY",
"middle_name": "SUBHASH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-18",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "RI",
"license": "MD15487",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "SC",
"license": "40833",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pinky.vaidya@mpaii.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "ECW DA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR",
"address_1": "50 Maude St",
"address_2": "Floor 2",
"city": "Providence",
"state": "RI",
"country_code": "US",
"postal_code": "029084325",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Little River, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.