Individual provider Active NPI

Rhody F Fawaz, MD

  • Gastroenterology Physician
  • Greenville, SC
National Provider Identifier
1902891625
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
86784 Issued in SC
Practice address
317 Saint Francis Dr Ste 339
Greenville, SC 29601-3965
Phone
(864) 335-7555
Fax
(833) 459-0877
NPI assigned
Sep 19, 2005
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 86784 SC Primary
Gastroenterology Physician 207RG0100X 19976 OK

Addresses

Primary practice location

317 Saint Francis Dr Ste 339
Greenville, SC 29601-3965

Mailing address

PO Box 631341
Cincinnati, OH 45263-1341
Phone (864) 335-7555

Other identifiers 4

IdentifierTypeStateIssuer
347459115OtherOKDOL
100016186OtherRAILROAD MEDICARE
1000097620BMedicaidOK
7861276OtherOKAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100128000780 OK Practitioner - GastroenterologyPractitioner - Internal Medicine 8426190471 Reassigns benefits to 2 organizations
I20211122002603 SC Practitioner - Gastroenterology 8426190471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1323 NW 6TH Ave
Stillwater, OK 74074-4306
Phone (405) 372-1480

1323 W 6TH Ave
Kansas City, MO 74074-4306

1411 W 7TH Ave
Stillwater, OK 74074-4300

417 Fairview Ave
Ponca City, OK 74601-1923
Phone (580) 762-3770

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy65
Upper gastrointestinal (GI) endoscopy for acid reflux113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Surgical Affiliates, LLC CurrentSince May 1, 2018 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Jul 17, 2022 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Jul 17, 2022 Accepting new patients
Stillwater Medical Center Authority CurrentSince Jan 1, 2025 Accepting new patients
McLeod Physician Associates II CurrentSince Dec 1, 2021 Accepting new patients
McLeod Physician Associates II CurrentSince Dec 1, 2021 Accepting new patients
McLeod Physician Associates II Current Accepting new patients
Stillwater Medical Center Authority Gastroenterology CurrentSince Jan 1, 2025 Accepting new patients
Professional Gastroenterology & Nutrition Associates, P.a. Gastroenterology PastSince May 1, 2015 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Tri County Professional Management, Inc Gastroenterology Past Accepting new patients
Stillwater Medical Center Physicians Past Accepting new patients
Blackwell Hospital Trust Authority Past Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients

Locations

5606 SW Lee Blvd
Ste 205
Lawton, OK 73505
Phone (580) 531-6465

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

1301 W 6th Ave
Ste 108
Stillwater, OK 74074
Phone (405) 533-1695

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

401 E Cheves St
Ste 301
Florence, SC 29506
Phone (843) 777-7166

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

317 Saint Francis Dr
Ste 339
Greenville, SC 29601
Phone (864) 335-7555

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1821/brand/1/csg/22/fhir/r4

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1902891625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631341",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631341",
            "telephone_number": "864-335-7555",
            "fax_number": "833-459-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SAINT FRANCIS DR STE 339",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013965",
            "telephone_number": "864-335-7555",
            "fax_number": "833-459-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWAZ",
        "first_name": "RHODY",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "86784",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "19976",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "347459115",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100016186",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000097620B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7861276",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.