NPIMap

Individual provider Active NPI

Rubina Wadud, MD

  • Internal Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1922034123
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
SC21095 Issued in SC
Practice address
1301 48TH Ave N
Ste B
Myrtle Beach, SC 29577
Phone
(843) 497-1441
Fax
(843) 497-3003
NPI assigned
Jun 23, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X SC21095 SC Primary

Addresses

Primary practice location

1301 48TH Ave N
Ste B
Myrtle Beach, SC 29577

Mailing address

1301 48TH Ave N
Ste B
Myrtle Beach, SC 29577-5427
Phone (843) 293-8360

Other identifiers 1

IdentifierTypeStateIssuer
210952MedicaidSC

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
I20100114000763 SC Practitioner - Internal Medicine 8325180235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southeast Medical Associates LLCGroup PAC ID 0042351579, 3 clinicians

Practice addresses (Care Compare)

1301 48TH Ave N
Suite B
Myrtle Beach, SC 29577-5427
Phone (843) 497-1441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
31.13 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
83.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SC21095SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Associates LLC Internal Medicine CurrentSince Aug 16, 2001 Accepting new patients
Executive Court Medical Specialist P.C. PastSince Jun 2, 2025 Accepting new patients

Locations

1301 48th Ave N
Ste B
Myrtle Beach, SC 29577
Phone (843) 497-1441

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922034123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 48TH AVE N",
            "address_2": "STE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775427",
            "telephone_number": "843-293-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 48TH AVE N",
            "address_2": "STE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29577",
            "telephone_number": "843-497-1441",
            "fax_number": "843-497-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADUD",
        "first_name": "RUBINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "SC21095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210952",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.