NPIMap

Individual provider Active NPI

Samuel Carey Venturella, M.D.

  • Diagnostic Radiology Physician
  • Greenwood, SC
National Provider Identifier
1902006794
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MMD.36157TL Issued in SC
Practice address
1156 Edgefield St
Upper Savannah Radiologic Associates
Greenwood, SC 29646
Phone
(864) 889-9605
NPI assigned
Jul 20, 2007
Last updated
Jul 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MMD.36157TL SC Primary

Addresses

Primary practice location

1156 Edgefield St
Upper Savannah Radiologic Associates
Greenwood, SC 29646

Mailing address

1156 Edgefield St
Upper Savannah Radiologic Associates
Greenwood, SC 29646
Phone (864) 889-9605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131021001844 SC Practitioner - Diagnostic Radiology 7618132515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Radiology of Anderson PAGroup PAC ID 3173559945, 43 clinicians

Practice addresses (Care Compare)

123 WG Acker Dr
Pickens, SC 29671-2739
Phone (864) 878-4791

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MMD.36157TLSCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Pathology Associates PA Current Accepting new patients
Diagnostic Radiology of Anderson, P.a. Diagnostic Radiology CurrentSince Jun 17, 2019 Accepting new patients

Locations

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

123 Wg Acker Dr
Pickens, SC 29671
Phone (864) 512-2465

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1902006794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 EDGEFIELD ST",
            "address_2": "UPPER SAVANNAH RADIOLOGIC ASSOCIATES",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29646",
            "telephone_number": "864-889-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 EDGEFIELD ST",
            "address_2": "UPPER SAVANNAH RADIOLOGIC ASSOCIATES",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29646",
            "telephone_number": "864-889-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTURELLA",
        "first_name": "SAMUEL",
        "middle_name": "CAREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "MMD.36157TL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.