Individual provider Active NPI

Maria A. Cayelli, MD

  • Family Medicine Physician
  • Anderson, SC
National Provider Identifier
1891744454
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20312 Issued in SC
Practice address
2000 E Greenville St
Suite 2000
Anderson, SC 29621-1580
Phone
(864) 260-1590
Fax
(864) 260-1596
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20312 SC Primary

Addresses

Primary practice location

2000 E Greenville St
Suite 2000
Anderson, SC 29621-1580

Mailing address

777 Senate Pkwy
Anderson, SC 29621-1820
Phone (864) 932-4114

Other practice location 1

777 Senate Pkwy
Anderson, SC 29621-1820
Phone (864) 932-4114

Other identifiers 3

IdentifierTypeStateIssuer
S360194OtherRAILROAD MEDICARE
00803217BOtherGEORGIA MEDICAID
T42497MedicaidSC

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
I20170714000593 SC Order and Referring Only - Family PracticePractitioner - Family Practice 2567461486

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891744454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 SENATE PKWY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211820",
            "telephone_number": "864-932-4114",
            "fax_number": "864-932-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST",
            "address_2": "SUITE 2000",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211580",
            "telephone_number": "864-260-1590",
            "fax_number": "864-260-1596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Senate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296211820",
            "country_code": "US",
            "telephone_number": "864-932-4114",
            "fax_number": "864-932-4114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAYELLI",
        "first_name": "MARIA",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "20312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "S360194",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICAID",
            "identifier": "00803217B",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T42497",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.