Jared M Intaphan, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MD39455 Issued in SC

Practice address

9150 Medcom St Ste B
North Charleston, SC 29406

Phone

(843) 572-3330

NPI assigned

Sep 3, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

Mercer University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roper St Francis Hospital-Berkeley Inc.Group PAC ID 4981933256, 22 clinicians

Bon Secours St Francis Xavier Hospital IncGroup PAC ID 8325008717, 202 clinicians

Roper Hospital IncGroup PAC ID 8426958919, 66 clinicians

Lowcountry Lung and Critical Care PAGroup PAC ID 8921173147, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
• Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
• Trident Medical Center Hospital, Charleston, SC, CCN 420079
• Roper Hospital Hospital, Charleston, SC, CCN 420087

Merit-based Incentive Payment System (MIPS)

Final score

96.87 of 100Reported as group

Quality

100

Improvement activities

40

Cost

80.8

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jared.intaphan.p1@direct.llcc.nextgenshare.com

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.

• Bon Secours St Francis Xavier Hospital, Inc.

  • Cardiovascular Disease Physician
  • Charleston, SC
  • NPI 1740502822
  Medicare reassignment Care Compare group NPD
• Lowcountry Lung & Critical Care PA

  • Specialist
  • North Charleston, SC
  • NPI 1013986017
  Medicare reassignment Care Compare group NPD
• Roper Hospital, Inc.

  • Infectious Disease Physician
  • Charleston, SC
  • NPI 1104150739

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Roper St Francis Hospital-Berkeley Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Summerville, SC
  • NPI 1295534956
  Medicare reassignment Care Compare group NPD
• Roper St. Francis Mount Pleasant Hospital

  • Cardiovascular Disease Physician
  • Mt Pleasant, SC
  • NPI 1629499298
  Medicare reassignment NPD
• Summerville Sleep Consultants LLC

  • Specialist
  • Summerville, SC
  • NPI 1265507404
  Medicare reassignment NPD
• Bon Secours St. Francis Xavier Hospital, Inc.

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1982583068

  Internal Medicine

  NPD
• Bon Secours St. Francis Xavier Hosptial, Inc.

  • Neurology Physician
  • Charleston, SC
  • NPI 1578929634
  NPD
• Roper Hospital Inc.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • N. Charleston, SC
  • NPI 1104563758
  NPD
• Roper Hospital, Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Charleston, SC
  • NPI 1053640078
  NPD
• Roper St Francis Hospital-Berkeley Inc.

  • Maternal & Fetal Medicine Physician
  • Summerville, SC
  • NPI 1376401281
  NPD
• Roper St. Francis Mount Pleasant Hospital

  • Critical Care Medicine (Internal Medicine) Physician
  • Mt Pleasant, SC
  • NPI 1578362232
  NPD

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

• Bon Secours St. Francis Xavier Hospital Inc.

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1851361778
  Care Compare affiliation
• Roper Hospital, Inc

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1962472860
  Care Compare affiliation
• Roper St Francis Hospital-Berkeley Inc.

  • General Acute Care Hospital
  • Summerville, SC
  • NPI 1336603646
  Care Compare affiliation
• Trident Medical Center, LLC

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1366496937
  Care Compare affiliation

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1639486160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 MEDCOM ST STE B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-572-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 MEDCOM ST STE B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-572-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Beverly Blvd Rm 5512",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900481804",
            "country_code": "US",
            "telephone_number": "310-423-5581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9330 Medical Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294069104",
            "country_code": "US",
            "telephone_number": "842-797-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 Beverly Blvd Rm 5512",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900481804",
            "country_code": "US",
            "telephone_number": "310-423-5581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 Calhoun St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294011113",
            "country_code": "US",
            "telephone_number": "843-724-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INTAPHAN",
        "first_name": "JARED",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "MD39445",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "MD39445",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "MD39445",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "SC",
            "license": "MD39445",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "MD39455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "394451",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin L. Infinger, FNP
• Julianne Weddell Ingham, APRN
• Innovative Psychological Services, Inc
• Insight Therapy and Wellness LLC
• Inspiration at Home Essential Home Care Services LLC
• International Rehabilitative Sciences Inc
• Intramed Plus, LLC
• Intrepid U.S.a., Inc.
• Intuitive Collaborations Counseling, LLC
• Elinore Ippolito

• Pulmonary Disease Physician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Pulmonary Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.

Verify at the official NPI Registry.