Active NPI
Mohammad Anwarul Haque Emran, MD
- Internal Medicine Physician
- Myrtle Beach, SC
National Provider Identifier
1811932999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- SC20391
- Practice address
- 1301 48TH Ave N
Ste B
Myrtle Beach, SC 29577 - Phone
- (843) 497-1441
- Fax
- (843) 497-3003
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | SC20391 | SC | Primary |
Addresses
Primary practice location
1301 48TH Ave N
Ste B
Myrtle Beach, SC 29577
Mailing address
1301 48TH Ave N
Ste B
Myrtle Beach, SC 29577-5427
Phone (843) 293-8360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T45537 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1301 48TH Ave N
Suite B
Myrtle Beach, SC 29577-5427
Phone (843) 497-1441
1301 48TH N Aveb
Suite B
Myrtle Beach, SC 29577-5427
Hospital & facility affiliations
- Amedisys Home Health of Myrtle Beach
- Centerwell Home Health
- Amedisys Home Health of Conway
- NHC Homecare Murrells Inlet
- Medical Services of America Home Health - Coastal
- Grand Strand Regional Medical Center
- Tidelands Waccamaw Community Hospital
- McLeod Loris Hospital
- Conway Medical Center
- Tidelands Georgetown Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 30.17 of 100
- Quality
- 15
- Improvement activities
- 0
- Cost
- 80.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC20391 | SC | MD | Internal Medicine Physician |
| 20391 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Medical Associates LLC | Internal Medicine | Current | Accepting new patients |
| Executive Court Medical Specialist P.C. | Past | Accepting new patients | |
| Executive Court Medical Associates Inc. | Past | Accepting new patients |
Locations
11947 Grandhaven Dr
Ste J
Murrells Inlet, SC 29576
Phone (843) 215-5102
1301 48th Ave N
Ste B
Myrtle Beach, SC 29577
Phone (843) 497-1441
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Myrtle Beach, SC
- NPI 1871798348
-
- Geriatric Medicine (Internal Medicine) Physician
- Surfside Beach, SC
- NPI 1558575217
-
- Family Medicine Physician
- Norwalk, OH
- NPI 1184794885
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Conway, SC
- NPI 1316905573
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1811932999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 48TH AVE N",
"address_2": "STE B",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775427",
"telephone_number": "843-293-8360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 48TH AVE N",
"address_2": "STE B",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29577",
"telephone_number": "843-497-1441",
"fax_number": "843-497-3003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMRAN",
"first_name": "MOHAMMAD",
"middle_name": "ANWARUL HAQUE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "SC20391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T45537",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.