Individual provider Active NPI

Bamidele A Ekunsanmi, M.D

  • Internal Medicine Physician
  • Rock Hill, SC
National Provider Identifier
1932156171
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19921 Issued in SC
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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 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

IdentifierTypeStateIssuer
GP2318MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080701000611 SC Practitioner - Internal MedicinePractitioner - HematologyPractitioner - Hematology/OncologyPractitioner - Medical Oncology 7012089311 Reassigns benefits to 2 organizations
I20250102000493 IL Practitioner - Internal Medicine 7012089311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology, Hematology/Oncology, Medical Oncology
Education
Howard University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

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

LicenseStateTypeSpecialty
19921SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Clinics PA Internal Medicine CurrentSince Nov 1, 2000 Accepting new patients
Apogee Medical Group South Carolina Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Bayview Medical Center, Inc Internal Medicine CurrentSince Oct 19, 2024 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 PastSince Jul 1, 2005 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.