Active NPI
Kyrstin Pontes
- Physician Assistant
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4699
- Practice address
- 2720 Sunset Blvd
West Columbia, SC 29169-4810 - Phone
- (803) 791-2350
- Fax
- (803) 791-2520
- NPI assigned
- Sep 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 029088 | NY | |
| Physician Assistant | 363A00000X | 4699 | SC | Primary |
Addresses
Primary practice location
2720 Sunset Blvd
West Columbia, SC 29169-4810
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 791-2350
Other practice location 1
211 E 51st St
New York, NY 10022-6526
Phone (332) 263-4467
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kpontes177445@direct.lexmed.com |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Knox Abbott Dr
Cayce, SC 29033-3323
Phone (803) 314-0660
2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2460
811 W Main St
Lexington, SC 29072-2500
Hospital & facility affiliations
- Lexington Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029088 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington County Health Services District Inc | Current | Accepting new patients | |
| Lexington County Health Services District, Inc. | Past | Accepting new patients |
Locations
1111 Knox Abbott Dr
Cayce, SC 29033
Phone (803) 314-0660
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480
Organizations & group practices 5
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
-
- General Acute Care Hospital
- West Columbia, SC
- NPI 1356366314
-
- Diagnostic Radiology Physician
- West Columbia, SC
- NPI 1083212294
-
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
-
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1396778056
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1750002390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6069",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291716069",
"telephone_number": "803-791-2350",
"fax_number": "803-791-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 SUNSET BLVD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694810",
"telephone_number": "803-791-2350",
"fax_number": "803-791-2520"
}
],
"practiceLocations": [
{
"address_1": "211 E 51st St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100226526",
"country_code": "US",
"telephone_number": "332-263-4467",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PONTES",
"first_name": "KYRSTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-12",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "029088",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "4699",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kpontes177445@direct.lexmed.com",
"affiliation": "N",
"address_1": "2720 Sunset Blvd",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694810",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.