Individual provider Active NPI

Angela Marie Saito, MD

  • Clinic/Center
  • North Charleston, SC
National Provider Identifier
1710098124
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
16738 Issued in SC
Practice address
2683 Elms Plantation Blvd
North Charleston, SC 29406-9165
Phone
(843) 553-7588
Fax
(843) 553-8619
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

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
Clinic/Center 261Q00000X 16738 SC Primary

Addresses

Primary practice location

2683 Elms Plantation Blvd
North Charleston, SC 29406-9165

Mailing address

1000 Johnnie Dodds Blvd
Suite 103-175
Mt Pleasant, SC 29464-3135
Phone (843) 881-2649

Other identifiers 1

IdentifierTypeStateIssuer
16738OtherSCSTATE LICENSE

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
I20111118000370 SC Practitioner - Family Practice 5294909792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Infusion Services LLCGroup PAC ID 4688578826, 60 clinicians

Practice addresses (Care Compare)

1027 Physicians Dr
Suite 220
Charleston, SC 29414-5352
Phone (803) 771-7740

National Provider Directory

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710098124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 103-175",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643135",
            "telephone_number": "843-881-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2683 ELMS PLANTATION BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069165",
            "telephone_number": "843-553-7588",
            "fax_number": "843-553-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAITO",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "16738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "16738",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.