Individual provider Active NPI

Kishan Govind, M.D.

  • Ophthalmology Physician
  • Aiken, SC
National Provider Identifier
1740542893
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
TL39745 Issued in SC
Practice address
110 Pepper Hill Way
Aiken, SC 29801-2818
Phone
(803) 642-6060
NPI assigned
Jun 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X TL39745 SC Primary

Addresses

Primary practice location

110 Pepper Hill Way
Aiken, SC 29801-2818

Mailing address

110 Pepper Hill Way
Aiken, SC 29801-2818
Phone (803) 642-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190515003397 NC Practitioner - Ophthalmology 1658683057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Retina Specialists PAGroup PAC ID 4981755014, 5 clinicians

Practice addresses (Care Compare)

1132 N Church St
Suite 103
Greensboro, NC 27401-1040
Phone (336) 369-7100

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TL39745SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Retina Specialists, P.a. Ophthalmology CurrentSince Jul 1, 2020 Accepting new patients

Locations

1132 N Church St
Ste 103
Greensboro, NC 27401
Phone (336) 369-7100

195 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 369-9700

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": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1740542893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PEPPER HILL WAY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298012818",
            "telephone_number": "803-642-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PEPPER HILL WAY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298012818",
            "telephone_number": "803-642-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVIND",
        "first_name": "KISHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "TL39745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.