Individual provider Active NPI

Ansermo Lester Arthur, M.D.

  • Interventional Cardiology Physician
  • Aiken, SC
National Provider Identifier
1720161151
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD18189 Issued in SC
Practice address
137 Miracle Dr
Aiken, SC 29801-6351
Phone
(803) 641-4874
Fax
(803) 641-0436
NPI assigned
Oct 21, 2006
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101268572 VA
Cardiovascular Disease Physician 207RC0000X 0101268572 VA
Cardiovascular Disease Physician 207RC0000X 18189 SC
Interventional Cardiology Physician 207RI0011X 0101268572 VA
Interventional Cardiology Physician 207RI0011X MD18189 SC Primary

Addresses

Primary practice location

137 Miracle Dr
Aiken, SC 29801-6351

Mailing address

367 S. Gulph Rd
Att: Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (803) 641-4874

Other practice location 1

844 Kempsville Rd Ste 204
Norfolk, VA 23502-3927
Phone (757) 261-0700

Other identifiers 1

IdentifierTypeStateIssuer
181895MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110401000216 SC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6507049749 Reassigns benefits to 6 organizations
I20180817003240 GA Practitioner - Interventional CardiologyPractitioner - Internal Medicine 6507049749 Reassigns benefits to 3 organizations
I20231103002765 VA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6507049749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Arizona College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Romtherapy IncGroup PAC ID 9133597594, 12 clinicians
Romtherapy Connecticut Medical PCGroup PAC ID 2860832821, 9 clinicians

Practice addresses (Care Compare)

Chesapeake, VA 23324
Phone (203) 599-3250

1101 Ocilla Rd
Douglas, GA 31533-2207
Phone (912) 384-1900

137 Miracle Dr
Aiken, SC 29801-6351
Phone (803) 226-0589

160 Teal CT
Aiken, SC 29803-6400
Phone (888) 374-0855

302 University Pkwy
Aiken, SC 29801-6302
Phone (803) 641-5000

420 Society Hill Dr
Aiken, SC 29803-1731

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting18
Pacemaker insertion or repair32
Varicose vein removal15
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101268572VAMDInternal Medicine Physician
18189SCMDCardiovascular Disease Physician
MD18189SCMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Burke County Hospital Authority Current Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Romtherapy Inc Cardiovascular Disease CurrentSince May 22, 2023 Accepting new patients
Aiken Regional Medical Centers LLC Current Accepting new patients
Burke Hospital Company CurrentSince Feb 1, 2023 Accepting new patients
Aiken Regional Medical Centers, LLC. CurrentSince Oct 1, 1997 Accepting new patients
Coffee Regional Medical Center, Inc Current Accepting new patients
Aiken Professional Association LLC Internal Medicine CurrentSince Oct 13, 2014 Accepting new patients
Aiken Regional Medical Centers LLC CurrentSince Oct 1, 1997 Accepting new patients
Romtherapy New Jersey Medical PA Cardiovascular Disease CurrentSince Jun 21, 2024 Accepting new patients
Coffee Regional Medical Center, Inc CurrentSince Feb 1, 2020 Accepting new patients
Aiken Professional Association, LLC Internal Medicine CurrentSince Oct 13, 2014 Accepting new patients
Burke Hospital Company Current Accepting new patients
Romtherapy California Medical PC Cardiovascular Disease CurrentSince Jul 1, 2024 Accepting new patients
Romtherapy Connecticut Medical PC Cardiovascular Disease CurrentSince Feb 13, 2024 Accepting new patients
Coffee Regional Medical Center, Inc CurrentSince Feb 1, 2020 Accepting new patients
Burke Hospital Company CurrentSince Feb 1, 2023 Accepting new patients
Mayo Clinic Health System in Waycross, Inc. Past Accepting new patients

Locations

101 Silvermine Rd
Ste 300
Brookfield, CT 06804

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

6665 Corners Industrial Ct
Ste C
Norcross, GA 30092

351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435

367 S Gulph Rd
Kng of Prussa, PA 19406
Phone (610) 382-4422

137 Miracle Dr
Aiken, SC 29801
Phone (803) 226-0589

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

440 Society Hill Dr
Ste 202
Aiken, SC 29803
Phone (803) 226-0102

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (505) 340-5555

124 Robert Hall Ct
Ste 106
Chesapeake, VA 23324

844 Kempsville Rd
Ste 204
Norfolk, VA 23502
Phone (757) 261-0700

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • Direct secure messaging: ansermo.arthur@hca5.eclinicaldirectplus.com
  • Direct secure messaging: romtechnologiesinc.ansermoarthur@156161.advancedmd-direct.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 4

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": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1720161151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S. GULPH RD",
            "address_2": "ATT: IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "803-641-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MIRACLE DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016351",
            "telephone_number": "803-641-4874",
            "fax_number": "803-641-0436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "844 Kempsville Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023927",
            "country_code": "US",
            "telephone_number": "757-261-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARTHUR",
        "first_name": "ANSERMO",
        "middle_name": "LESTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101268572",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101268572",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "18189",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101268572",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "MD18189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181895",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.