Active NPI
Radiance E. Vafai, MD
- Pediatrics Physician
- Lexington, SC
National Provider Identifier
1932169588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25532
- Practice address
- 346 West Butler Street
Lexington Pediatric Practice
Lexington, SC 29072 - Phone
- (803) 359-8855
- Fax
- (803) 359-1257
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25532 | SC | Primary |
Addresses
Primary practice location
346 West Butler Street
Lexington Pediatric Practice
Lexington, SC 29072
Mailing address
346 West Butler Street
Lexington Pediatric Practice
Lexington, SC 29072
Phone (803) 359-8855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255324 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25532 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health-Midlands | Past | Accepting new patients | |
| University Pediatrics | Pediatrics | Past | Accepting new patients |
| Palmetto Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatric Hospice and Palliative Medicine Physician
- Columbia, SC
- NPI 1164796306
-
- General Acute Care Hospital
- Sumter, SC
- NPI 1326043548
-
- Pediatrics Physician
- Columbia, SC
- NPI 1083657233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228176000000",
"number": "1932169588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 WEST BUTLER STREET",
"address_2": "LEXINGTON PEDIATRIC PRACTICE",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "29072",
"telephone_number": "803-359-8855",
"fax_number": "803-359-1257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 WEST BUTLER STREET",
"address_2": "LEXINGTON PEDIATRIC PRACTICE",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "29072",
"telephone_number": "803-359-8855",
"fax_number": "803-359-1257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAFAI",
"first_name": "RADIANCE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2008-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "25532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255324",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.