NPIMap

Individual provider Active NPI

Erika Susan Blank, MD

  • Internal Medicine Physician
  • Charleston, SC
National Provider Identifier
1659361756
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51966 Issued in SC
Practice address
30 Bee Street
Charleston, SC 29403-0800
Phone
(843) 792-6500
NPI assigned
Oct 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15617 NH
Internal Medicine Physician 207R00000X 51966 SC Primary

Addresses

Primary practice location

30 Bee Street
Charleston, SC 29403-0800

Mailing address

PO Box 602108
Charlotte, NC 28260-2108
Phone (843) 792-6200

Other identifiers 1

IdentifierTypeStateIssuer
3076240MedicaidNH

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
I20181210001252 SC Practitioner - Internal Medicine 9234211020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Family Care IncGroup PAC ID 4587557731, 81 clinicians

Practice addresses (Care Compare)

30 Bee St
Suite 2100
Charleston, SC 29403-5818
Phone (843) 792-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.96 of 100Reported as group
Quality
89.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15617NHMDInternal Medicine Physician
51966SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc CurrentSince Mar 1, 2020 Accepting new patients
Carolina Family Care, Inc CurrentSince Mar 1, 2020 Accepting new patients
Carolina Family Care, Inc Past Accepting new patients
Bimc Faculty Practice Internal Medicine Past Accepting new patients

Locations

30 Bee St
#2100
Charleston, SC 29403
Phone (843) 792-6500

1113 Park West Blvd
Mt Pleasant, SC 29466
Phone (843) 876-1445

1200 Innovation Way
Ste 101B
Mt Pleasant, SC 29466
Phone (843) 876-1445

1440 Ben Sawyer Blvd
Mt Pleasant, SC 29464
Phone (843) 388-2504

1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653

1440 Ben Sawyer Blvd
Ste 1109
Mt Pleasant, SC 29464
Phone (843) 876-8333

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 10

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1659361756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602108",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BEE STREET",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294030800",
            "telephone_number": "843-792-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "ERIKA",
        "middle_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "15617",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "51966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076240",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.