Ansermo Lester Arthur, M.D.
Individual provider Active NPI Interventional Cardiology Physician · Aiken, SC
NPI 1720161151 · NPPES record last updated Oct 9, 2023
Key facts
- NPI
- 1720161151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- MD18189 (SC)
- Practice address
- 137 Miracle Dr
Aiken, SC 29801-6351 - Phone
- (803) 641-4874
- Fax
- (803) 641-0436
- NPI assigned
- Oct 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Interventional 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 Inc
Coffee Regional Medical Center Inc
Aiken Professional Association LLC
Romtherapy Connecticut Medical PC
Aiken Regional Medical Centers LLC
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
- Aiken Regional Medical Center
- Coffee Regional Medical Center, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 18 |
| Pacemaker insertion or repair | 32 |
| Varicose vein removal | 15 |
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in SC, GA, VA
- 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 |
|---|---|---|---|---|
| I20110401000216 | SC | Practitioner - Interventional Cardiology |
6507049749 | Reassigns benefits to 6 organizations |
| I20180817003240 | GA | Practitioner - Interventional Cardiology |
6507049749 | Reassigns benefits to 3 organizations |
| I20231103002765 | VA | Practitioner - Interventional Cardiology |
6507049749 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101268572 | VA | MD | Cardiovascular Disease Physician |
| MD18189 | SC | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burke Hospital Company | Current |
Accepting new patients | |
| Aiken Regional Medical Centers LLC | Current | Accepting new patients | |
| Romtherapy New Jersey Medical PA | Cardiovascular Disease | Current |
Accepting new patients |
| Romtherapy California Medical PC | Cardiovascular Disease | Current |
Accepting new patients |
| Coffee Regional Medical Center, Inc | Current |
Accepting new patients | |
| Aiken Professional Association, LLC | Internal Medicine | Current |
Accepting new patients |
| Coffee Regional Medical Center, Inc | Current | Accepting new patients | |
| Coffee Regional Medical Center, Inc | Current |
Accepting new patients | |
| Burke County Hospital Authority | Current | Accepting new patients | |
| Sentara Medical Group | Internal Medicine | Current |
Accepting new patients |
| Aiken Professional Association LLC | Internal Medicine | Current |
Accepting new patients |
| Aiken Regional Medical Centers, LLC. | Current |
Accepting new patients | |
| Burke Hospital Company | Current |
Accepting new patients | |
| Aiken Regional Medical Centers LLC | Current |
Accepting new patients | |
| Burke Hospital Company | Current | Accepting new patients | |
| Romtherapy Connecticut Medical PC | Cardiovascular Disease | Current |
Accepting new patients |
| Romtherapy Inc | Cardiovascular Disease | Current |
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 (256) 497-0032
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
- ansermo.arthur@hca5.eclinicaldirectplus.com
- romtechnologiesinc.ansermoarthur@156161.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181895 | Medicaid | SC |
Other providers in Aiken, SC
- Darcy Renee Armstrong
- Reagan Ann Armstrong
- Terri Lynn Armstrong
- Anthony Todd Arnott
- Cheri Nicole Arthun
- James Michael Asbelle
- Erica Lovae Ashley
- Assisted Living Concepts Inc
- At Home Footcare LLC
- Ron Atteberry
All providers in Aiken, SC · Interventional Cardiology 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 Oct 9, 2023. 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.