NPIMap

Individual provider Active NPI

Sivanthan Balachandran, MD

  • Nephrology Physician
  • Conway, SC
National Provider Identifier
1699840322
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
22373 Issued in SC
Practice address
834 Farrar Drive
Conway, SC 29526
Phone
(843) 347-9487
Fax
(843) 347-9574
NPI assigned
Nov 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 22373 SC Primary

Addresses

Primary practice location

834 Farrar Drive
Conway, SC 29526

Mailing address

834 Farrar Drive
Conway, SC 29526
Phone (843) 347-9487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101028000567 SC Practitioner - Nephrology 6709958754 Reassigns benefits to 1 organization
I20150828000947 NC Practitioner - Nephrology 6709958754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Kidney Center PAGroup PAC ID 3173553484, 7 clinicians

Practice addresses (Care Compare)

1151 44TH N Ave
Mytle Beach, SC 29577-5756
Phone (843) 497-7275

847 Farrar Dr
Conway, SC 29526-8747
Phone (843) 347-9487

98 Stone Chimney Rd SE
Supply, NC 28462-3374
Phone (910) 754-3280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.89 of 100Reported as group
Quality
81.02
Improvement activities
40
Cost
78.27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Kidney Center PA Nephrology CurrentSince Aug 15, 1994 Accepting new patients
Waccamaw Dermatology, LLC PastSince Oct 15, 2025 Accepting new patients

Locations

834 Farrar Dr
Conway, SC 29526
Phone (843) 347-9487

847 Farrar Dr
Conway, SC 29526
Phone (843) 347-9487

1151 44th Ave N
Myrtle Beach, SC 29577
Phone (843) 497-7275

Interoperability endpoints

  • Direct secure messaging: sbalachandran16157@direct.acumenmd.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699840322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 FARRAR DRIVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-347-9487",
            "fax_number": "843-347-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 FARRAR DRIVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-347-9487",
            "fax_number": "843-347-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALACHANDRAN",
        "first_name": "SIVANTHAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "22373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.