Individual provider Active NPI

Sanjay G. Nandurkar, MD

  • Interventional Pain Medicine Physician
  • Lancaster, SC
National Provider Identifier
1902905581
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
29327 Issued in SC
Practice address
901 W Meeting St Ste 200
Lancaster, SC 29720-6200
Phone
(803) 289-7246
Fax
(803) 285-1522
NPI assigned
Sep 21, 2006
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 29327 SC Primary

Addresses

Primary practice location

901 W Meeting St Ste 200
Lancaster, SC 29720-6200

Mailing address

PO Box 1257
Lancaster, SC 29721-1257
Phone (803) 289-7246

Other identifiers 1

IdentifierTypeStateIssuer
293275MedicaidSC

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
I20061116000345 SC Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 5092713586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

901 W Meeting St
Suite 200
Lancaster, SC 29720-6200
Phone (803) 298-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.61 of 100Reported as individual
Quality
84.36
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29327SCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Interventional Spine and Pain Center, LLC Interventional Pain Medicine CurrentSince Nov 1, 2006 Accepting new patients

Locations

834 W Meeting St
Ste A
Lancaster, SC 29720
Phone (803) 285-1411

901 W Meeting St
Ste 200
Lancaster, SC 29720
Phone (803) 289-7246

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJCCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJCCA/Endpoint/EDJCCA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1902905581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1257",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297211257",
            "telephone_number": "803-289-7246",
            "fax_number": "803-285-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MEETING ST STE 200",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297206200",
            "telephone_number": "803-289-7246",
            "fax_number": "803-285-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDURKAR",
        "first_name": "SANJAY",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "29327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293275",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.