Individual provider Active NPI

Thyra Maltese, PAC

  • Physician Assistant
  • Summerville, SC
National Provider Identifier
1861938490
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3254 Issued in SC
Practice address
2001 2ND Ave Ste 201
Summerville, SC 29486-7887
Phone
(843) 572-4840
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110212 FL
Physician Assistant 363A00000X 3254 SC Primary

Addresses

Primary practice location

2001 2ND Ave Ste 201
Summerville, SC 29486-7887

Mailing address

2001 2ND Ave Ste 201
Summerville, SC 29486-7887
Phone (843) 572-4840

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thyra.maltese.p1@direct.articularis.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190917000255 SC Practitioner - Physician Assistant 9335425404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3254SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Articularis Healthcare Group Inc. CurrentSince Jun 10, 2019 Accepting new patients
Articularis Healthcare Group Inc. CurrentSince Jun 10, 2019 Accepting new patients

Locations

2001 2nd Ave
Ste 201
Summerville, SC 29486
Phone (843) 572-4840

2015 2nd Ave
Ste 204
Summerville, SC 29486
Phone (843) 572-4840

Interoperability endpoints

  • Direct secure messaging: tmaltese21593@articularis.gardenplot.direct-ci.com
  • Direct secure messaging: thyra.maltese.p1@direct.articularis.nextgenshare.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1861938490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 2ND AVE STE 201",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867887",
            "telephone_number": "843-572-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 2ND AVE STE 201",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867887",
            "telephone_number": "843-572-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTESE",
        "first_name": "THYRA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110212",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thyra.maltese.p1@direct.articularis.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2001 2nd Ave Ste 201",
            "city": "Summerville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294867887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.