NPIMap

Individual provider Active NPI

Richard Blake Kline, MD

  • Pain Medicine (Anesthesiology) Physician
  • Conway, SC
National Provider Identifier
1902824378
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
20364 Issued in SC
Practice address
2767 Cultra Rd
Conway, SC 29526-3716
Phone
(843) 438-8470
Fax
(843) 438-8480
NPI assigned
Jul 17, 2006
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 20364 SC Primary
Anesthesiology Physician 207L00000X 20364 SC
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2767 Cultra Rd
Conway, SC 29526-3716

Mailing address

2767 Cultra Rd
Conway, SC 29526-3716
Phone (843) 438-8470

Other identifiers 1

IdentifierTypeStateIssuer
203648MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Conway Direct

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
I20100805000070 SC Practitioner - AnesthesiologyPractitioner - Pain Management 8022111616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Medical College of Georgia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians
Atlantic Coast Pain Specialists IncGroup PAC ID 6507179348, 2 clinicians

Practice addresses (Care Compare)

2724 W Palmetto St
Suite 2
Florence, SC 29501-4909
Phone (843) 292-1900

2767 Cultra Rd
Conway, SC 29526-3716
Phone (843) 438-8470

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.79 of 100Reported as group
Quality
96.46
Improvement activities
40
Cost
67.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20364SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Coast Pain Specialists, Inc Anesthesiology CurrentSince May 1, 2015 Accepting new patients
Anesthesiology Consultants of Florence Anesthesiology Past Accepting new patients
Aiken Anesthesiology Group PA. Anesthesiology Past Accepting new patients
Heartland Hospice Services, LLC Past Accepting new patients

Locations

1500 Main St
Conway, SC 29526
Phone (843) 248-2061

2767 Cultra Rd
Conway, SC 29526
Phone (843) 438-8470

Interoperability endpoints

  • Direct secure messaging: kline.richard.008.0400050@acpas.meditab.direct-ci.com
  • Direct secure messaging: kline.richard.014.0400050@acpas.meditab.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1902824378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2767 CULTRA RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263716",
            "telephone_number": "843-438-8470",
            "fax_number": "843-438-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2767 CULTRA RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263716",
            "telephone_number": "843-438-8470",
            "fax_number": "843-438-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "RICHARD",
        "middle_name": "BLAKE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "20364",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "20364",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203648",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Conway",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2767 Cultra Rd",
            "city": "Conway",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295263716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.