Individual provider Active NPI

Sandra Nieves Rosado, MD

  • Internal Medicine Physician
  • Seneca, SC
National Provider Identifier
1922278720
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
85189 Issued in SC
Practice address
366 Market St
Seneca, SC 29678-0926
Phone
(864) 364-6380
Fax
(833) 853-9422
NPI assigned
Mar 7, 2008
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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 247230 NY
Internal Medicine Physician 207R00000X 85189 SC Primary

Addresses

Primary practice location

366 Market St
Seneca, SC 29678-0926

Mailing address

366 Market St
Seneca, SC 29678-0926
Phone (864) 364-6380

Other identifiers 1

IdentifierTypeStateIssuer
SCM048L064OtherSCMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SRosado3@centerwell.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247230NYMDInternal Medicine Physician
85189SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ardane Medical LLC CurrentSince Feb 4, 2024 Accepting new patients

Locations

528 Bypass Highway 123
Ste C
Seneca, SC 29678
Phone (864) 888-3400

Interoperability endpoints

  • Direct secure messaging: srosado3@centerwell.eclinicaldirectplus.com

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": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1922278720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 MARKET ST",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296780926",
            "telephone_number": "864-364-6380",
            "fax_number": "833-853-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 MARKET ST",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296780926",
            "telephone_number": "864-364-6380",
            "fax_number": "833-853-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES ROSADO",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "247230",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "85189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SCM048L064",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SRosado3@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "366 Market St",
            "city": "Seneca",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296780926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.