Advanced Institute for Metabolic Disorders, Endocrinology and Diabetes
Organization Active NPI Endocrinology, Diabetes & Metabolism Physician · Anderson, SC
NPI 1831975382 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1831975382
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- Legal business name
- ADVANCED INSTITUTE FOR METABOLIC DISORDERS, ENDOCRINOLOGY AND DIABETES
- Practice address
- 1403 E Greenville St Ste D
Anderson, SC 29621-2285 - Phone
- (443) 798-4080
- NPI assigned
- Aug 31, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Vipin Verma, MD
- Title
- Owner
- Phone
- (864) 745-8989
Practitioners 6
-
Sarah Cato, MD
-
Ravi Kant, M.B.B.S.
-
Vipin Verma, M.D.
-
Lakshya Chandra, M.D
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2304994 | Advanced Institute for Metabolic Disorders, | Certificate of waiver | May 21, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231109000230 | SC | Part B Supplier - Clinic/Group Practice | 7012364276 |
Receives reassigned benefits from 6 practitioners Practice locations: Anderson, SC |
National Provider Directory
Locations
2555 Highway 81 N
Anderson, SC 29621
Phone (864) 745-8767
1403 E Greenville St
Ste D
Anderson, SC 29621
Phone (443) 798-4080
2555 Highway 81 N
#100
Anderson, SC 29621
Phone (864) 745-8989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | Yes |
Addresses
Primary practice location
1403 E Greenville St Ste D
Anderson, SC 29621-2285
Mailing address
PO Box 1809
Anderson, SC 29622
Phone (864) 745-8989
Other practice location 1
2555 Highway 81 N
Anderson, SC 29621-2508
Phone (864) 745-8989
Other names
- AI-MED
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. 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.
- 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.