Individual provider Active NPI

Todd Russell Zusmer, D.O.

  • Family Medicine Physician
  • Simpsonville, SC
National Provider Identifier
1801884887
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1377 Issued in SC
Practice address
300 Scuffletown Rd
Simpsonville, SC 29681-7204
Phone
(864) 329-0029
Fax
(864) 329-8125
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS7932 FL
Family Medicine Physician 207Q00000X 1377 SC Primary

Addresses

Primary practice location

300 Scuffletown Rd
Simpsonville, SC 29681-7204

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other identifiers 2

IdentifierTypeStateIssuer
013773MedicaidSC
P00892907OtherSCRAILROAD MEDICARE

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
I20101028001007 SC Practitioner - Family Practice 7810894243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians

Practice addresses (Care Compare)

122 S Main St
Mauldin, SC 29662-2554
Phone (864) 284-4420

1305 S Suber Rd
Greer, SC 29650-0944
Phone (864) 989-4609

1501 Wo Ezell Blvd
Spartanburg, SC 29301-2665
Phone (864) 719-4220

1515 E Main St
Duncan, SC 29334-9218
Phone (843) 984-0773

3025 Wade Hampton Blvd
Taylors, SC 29687-2715
Phone (864) 643-2340

718 Fairview Rd
Simpsonville, SC 29680-7117
Phone (864) 794-6555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1377SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Feb 11, 2013 Accepting new patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Feb 7, 2023 Accepting new patients
Prisma Health University Medical Group Family Medicine Current Accepting new patients
Prisma Health University Medical Group CurrentSince Feb 11, 2013 Accepting new patients
Master Care Medical Center Inc Past Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

11402 Anderson Rd
Ste A
Greenville, SC 29611
Phone (864) 631-2799

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

1115 Wren School Rd
Piedmont, SC 29673
Phone (864) 859-0740

300 Scuffletown Rd
Simpsonville, SC 29681
Phone (864) 329-0029

Interoperability endpoints

  • Direct secure messaging: tzusmer17295@direct.ghs.myhfn.org

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.

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1801884887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SCUFFLETOWN RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296817204",
            "telephone_number": "864-329-0029",
            "fax_number": "864-329-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUSMER",
        "first_name": "TODD",
        "middle_name": "RUSSELL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7932",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "1377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013773",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00892907",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.