NPIMap

Individual provider Active NPI

Kenechukwu O. Ntukogu, M.D.

  • Hospitalist Physician
  • Sumter, SC
National Provider Identifier
1922128453
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
31060 Issued in SC
Practice address
129 N Washington St
Sumter, SC 29150
Phone
(803) 774-9680
Fax
(803) 774-8761
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31060 SC
Hospitalist Physician 208M00000X 31060 SC Primary

Addresses

Primary practice location

129 N Washington St
Sumter, SC 29150

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

Taylor At Marion
Columbia, SC 29220-0001
Phone (803) 296-5779

Other identifiers 1

IdentifierTypeStateIssuer
310602MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kntukogi193029@direct-srhs.et0939.epichosted.com 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
I20080926000494 SC Practitioner - Internal MedicinePractitioner - Hospitalist 5395812788 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909

111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909

1273 Remount Rd
North Charleston, SC 29406-3439
Phone (800) 491-0909

129 N Washington St
Sumter, SC 29150-4949
Phone (803) 774-9680

2030 Charlie Hall Blvd
Charleston, SC 29414-5830
Phone (800) 491-0909

9 Winchester CT
Mauldin, SC 29662-2626
Phone (800) 491-0909

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31060SCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Inpatient Physicians, LLC Internal Medicine CurrentSince Jun 15, 2009 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Mar 27, 2017 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Jul 21, 2008 Accepting new patients
Hospitalist Solution, PLLC Internal Medicine CurrentSince Oct 13, 2023 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Internal Medicine Current Accepting new patients
Prisma Health Medical Group-Midlands Hospitalist Current Accepting new patients
SC House Calls Inc CurrentSince Jan 6, 2025 Accepting new patients
SC House Calls Inc CurrentSince Jan 6, 2025 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Jul 21, 2008 Accepting new patients
Prisma Health Medical Group-Midlands Internal Medicine CurrentSince Mar 27, 2017 Accepting new patients
Colleton Medical Hospitalists LLC Hospitalist Past Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Colleton Medical Anesthesia, LLC Past Accepting new patients
Prisma Health-Midlands Past Accepting new patients

Locations

338 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 502-8570

1330 Taylor St
Fl 7
Columbia, SC 29201
Phone (803) 296-3701

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

115 N Sumter St
Ste 400
Sumter, SC 29150
Phone (803) 774-7425

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249

501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: kntukogu382726@direct.ghs.myhfn.org
  • Direct secure messaging: kenechukwu.ntukogu.1@7602.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/0fba742b-eec1-4103-87e5-edbdf1fe1e30/
  • Direct secure messaging: kntukogi193029@direct-srhs.et0939.epichosted.com

Organizations & group practices 16

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

View all 16

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1922128453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N WASHINGTON ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "29150",
            "telephone_number": "803-774-9680",
            "fax_number": "803-774-8761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Taylor At Marion",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292200001",
            "country_code": "US",
            "telephone_number": "803-296-5779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NTUKOGU",
        "first_name": "KENECHUKWU",
        "middle_name": "O.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "31060",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "31060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310602",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kntukogi193029@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kntukogi193029@direct-srhs.et0939.epichosted.com",
            "address_1": "101 E Wood St",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293033040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.