Individual provider Active NPI

Rajesh H. Kedar, MD

  • Internal Medicine Physician
  • Rock Hill, SC
National Provider Identifier
1659337681
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18994 Issued in SC
Practice address
2670 Mills Park Dr
Rock Hill, SC 29732-8599
Phone
(803) 985-3939
Fax
(803) 985-3929
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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 18994 SC Primary

Addresses

Primary practice location

2670 Mills Park Dr
Rock Hill, SC 29732-8599

Mailing address

2670 Mills Park Dr
Rock Hill, SC 29732-8599
Phone (803) 985-3939

Other identifiers 2

IdentifierTypeStateIssuer
790633VMedicaidNC
189940MedicaidSC

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
I20060509000471 SC Practitioner - Internal Medicine 4385549286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Toledo College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2670 Mills Park Dr
Suite 200
Rock Hill, SC 29732-5005
Phone (803) 984-7666

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metrolina Medical Associates P Internal Medicine CurrentSince May 1, 1997 Accepting new patients
Piedmont Pulmonology, LLC Internal Medicine Past Accepting new patients
York Physician Services PC Past Accepting new patients

Locations

2670 Mills Park Dr
Rock Hill, SC 29732
Phone (803) 366-4848

2670 Mills Park Dr
Ste 200
Rock Hill, SC 29732
Phone (803) 984-7666

Interoperability endpoints

  • Direct secure messaging: rajesh.kedar.2@20732.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIIGDD
  • FHIR API: https://api.platform.athenahealth.com/20732/brand/1/csg/1/fhir/r4

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 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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1659337681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 MILLS PARK DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328599",
            "telephone_number": "803-985-3939",
            "fax_number": "803-985-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 MILLS PARK DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328599",
            "telephone_number": "803-985-3939",
            "fax_number": "803-985-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEDAR",
        "first_name": "RAJESH",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "18994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790633V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189940",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.