Individual provider Active NPI

Pinky Subhash Vaidya, M.D.

  • Rheumatology Physician
  • Little River, SC
National Provider Identifier
1639467152
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
40833 Issued in SC
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

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170828000461 SC Practitioner - RheumatologyPractitioner - Internal Medicine 6507154382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians
McLeod Regional Medical Center of the Pee Dee IncGroup PAC ID 7416851852, 401 clinicians

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 Hospital, Florence, SC, CCN 420051
  • McLeod Loris Hospital Hospital, Loris, SC, CCN 420105
  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40833SCMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 15, 2024 Accepting new patients
McLeod Physician Associates II CurrentSince Aug 1, 2017 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 15, 2024 Accepting new patients
McLeod Physician Associates II CurrentSince Aug 1, 2017 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

  • Direct secure messaging: pinky.vaidya@mpaii.eclinicaldirectplus.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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

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

Verify at the official NPI Registry.