Sivanthan Balachandran, MD
Individual provider Active NPI Nephrology Physician · Conway, SC
NPI 1699840322 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699840322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 22373 (SC)
- Practice address
- 834 Farrar Drive
Conway, SC 29526 - Phone
- (843) 347-9487
- Fax
- (843) 347-9574
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 24
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Kidney Center PA
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
- Fresenius Medical Care Myrtle Beach
- FMC Dialysis Services North Myrtle Beach
- Fresenius Medical Care West Conway
- FMC Conway Dialysis Center
- FMC Brunswick County
- Grand Strand Regional Medical Center
- McLeod Loris Hospital
- Conway Medical Center
- Tidelands Waccamaw Community Hospital
- Tidelands Georgetown Memorial Hospital
- Tidelands Health Rehabilitation Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.89 of 100
- Quality
- 81.02
- Improvement activities
- 40
- Cost
- 78.27
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101028000567 | SC | Practitioner - Nephrology | 6709958754 | Reassigns benefits to 1 organization |
| I20150828000947 | NC | Practitioner - Nephrology | 6709958754 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22373 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Kidney Center PA | Nephrology | Current |
Accepting new patients |
| Waccamaw Dermatology, LLC | Past |
Accepting new patients |
Locations
847 Farrar Dr
Conway, SC 29526
Phone (843) 347-9487
834 Farrar Dr
Conway, SC 29526
Phone (843) 347-9487
1151 44th Ave N
Myrtle Beach, SC 29577
Phone (843) 497-7275
Interoperability endpoints
- sbalachandran16157@direct.acumenmd.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 22373 | SC | Yes |
Addresses
Primary practice location
834 Farrar Drive
Conway, SC 29526
Mailing address
834 Farrar Drive
Conway, SC 29526
Phone (843) 347-9487
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP1049 | Medicaid | SC |
Other providers in Conway, SC
- Amorette S Back
- Tom Badgett
- Andrew Dean Badi
- Donya T Baker
- Sally Brooks Baker
- Heather Marie Baldassarri
- Stephanie Jayne Ball
- Sudeepthi Bandikatla
- Maria Veronica Bandres Urbina
- Hyun Joon Bang
All providers in Conway, SC · Nephrology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.