Individual provider Active NPI

Jeffrey Allen Siegel, M.D.

  • Internal Medicine Physician
  • Greenville, SC
National Provider Identifier
1861598401
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11731 Issued in SC
Practice address
317 Saint Francis Dr
Suite 130
Greenville, SC 29601-3965
Phone
(864) 232-8296
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11731 SC Primary

Addresses

Primary practice location

317 Saint Francis Dr
Suite 130
Greenville, SC 29601-3965

Mailing address

317 Saint Francis Dr
Suite 130
Greenville, SC 29601-3965
Phone (864) 232-8296

Other identifiers 1

IdentifierTypeStateIssuer
117313MedicaidSC

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
I20100303000412 SC Practitioner - Internal Medicine 3476698358 Reassigns benefits to 1 organization
Practice locations: Simpsonville, SC

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Hospital, Inc. Current Accepting new patients
Jeffrey a. Siegel Internal Medicine CurrentSince Feb 6, 1997 Accepting new patients
St Francis Hospital Inc CurrentSince Oct 1, 2000 Accepting new patients
St Francis Hospital Inc CurrentSince Oct 1, 2000 Accepting new patients

Locations

317 Saint Francis Dr
Ste 130
Greenville, SC 29601
Phone (864) 232-8296

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

Organizations & group practices 4

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861598401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SAINT FRANCIS DR",
            "address_2": "SUITE 130",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013965",
            "telephone_number": "864-232-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SAINT FRANCIS DR",
            "address_2": "SUITE 130",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013965",
            "telephone_number": "864-232-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "11731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117313",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.