Active NPI
Bamidele A Ekunsanmi, M.D
- Internal Medicine Physician
- Rock Hill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 19921
- Practice address
- 1609 Constitution Blvd
Rock Hill, SC 29732-3047 - Phone
- (803) 326-3000
- Fax
- (803) 326-3003
- NPI assigned
- May 30, 2006
- Last updated
- Jan 27, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 19921 | SC | Primary |
| Internal Medicine Physician | 207R00000X | 036095290 | IL |
Addresses
Primary practice location
1609 Constitution Blvd
Rock Hill, SC 29732-3047
Mailing address
1609 Constitution Blvd
Rock Hill, SC 29732-3047
Phone (803) 326-3000
Other practice location 1
206 Burwash Ave
Savoy, IL 61874-9510
Phone (217) 356-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2318 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Howard University College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora South Carolina LLC
Practice addresses (Care Compare)
120 York St
Chester, SC 29706-1484
Phone (803) 581-3000
851 Heckle Blvd
Rock Hill, SC 29730-2806
Phone (839) 388-0908
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19921 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Clinics PA | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group South Carolina | Internal Medicine | Current | Accepting new patients |
| Bayview Medical Center, Inc | Internal Medicine | Current | Accepting new patients |
| Premier Clinics | Internal Medicine | Past | Accepting new patients |
| Orthopedic Associates of the Lowcountry, LLC | Internal Medicine | Past | Accepting new patients |
| Premier Clinics of York | Past | Accepting new patients |
Locations
206 Burwash Ave
Savoy, IL 61874
Phone (217) 351-8040
120 York St
Chester, SC 29706
Phone (803) 581-3000
1609 Constitution Blvd
Rock Hill, SC 29732
Phone (803) 326-3000
223 Herlong Ave S
Ste 110
Rock Hill, SC 29732
Phone (803) 326-3000
362 Oakland Ave
Rock Hill, SC 29730
Phone (803) 326-3000
Organizations & group practices 7
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.
-
dba Premier Clincs
- Primary Care Clinic/Center
- Chester, SC
- NPI 1548282452
Internal Medicine
-
- Internal Medicine Physician
- Savoy, IL
- NPI 1881434868
-
dba Premier Spine of the Carolinas
- Orthopaedic Surgery Physician
- Hilton Head, SC
- NPI 1528292638
Internal Medicine
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1124307624
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Medical Center
- General Acute Care Hospital
- Rock Hill, SC
- NPI 1457382483
-
dba MUSC Health Chester Medical Center
- General Acute Care Hospital
- Chester, SC
- NPI 1437622933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1932156171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 CONSTITUTION BLVD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297323047",
"telephone_number": "803-326-3000",
"fax_number": "803-326-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 CONSTITUTION BLVD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297323047",
"telephone_number": "803-326-3000",
"fax_number": "803-326-3003"
}
],
"practiceLocations": [
{
"address_1": "206 Burwash Ave",
"address_purpose": "LOCATION",
"city": "Savoy",
"state": "IL",
"postal_code": "618749510",
"country_code": "US",
"telephone_number": "217-356-3400",
"fax_number": "217-866-0122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EKUNSANMI",
"first_name": "BAMIDELE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "19921",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036095290",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP2318",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.