NPIMap

Individual provider Active NPI

Roger Wesley Ulrich, M.D.

  • Family Medicine Physician
  • Bluffton, SC
National Provider Identifier
1932336849
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31911 Issued in SC
Practice address
11 Arley Way
Suite 201
Bluffton, SC 29910-4883
Phone
(843) 706-8690
Fax
(843) 706-5066
NPI assigned
Jun 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31911 SC Primary

Addresses

Primary practice location

11 Arley Way
Suite 201
Bluffton, SC 29910-4883

Mailing address

11 Arley Way
Suite 201
Bluffton, SC 29910-4883
Phone (843) 706-8690

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
I20101206001061 SC Practitioner - Emergency Medicine 6709073513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Georgia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

1680 Ribaut Rd
Port Royal, SC 29935-2008
Phone (843) 524-3344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100Reported as group
Quality
83.15
Promoting interoperability
100
Improvement activities
40
Cost
73.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31911SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital Current Accepting new patients
Beaufort County Memorial Hospital CurrentSince Aug 1, 2012 Accepting new patients
Beaufort County Memorial Hosptial CurrentSince Aug 1, 2012 Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

11 Arley Way
Ste 201
Bluffton, SC 29910
Phone (843) 706-8690

122 Okatie Center Blvd N
Ste 310
Okatie, SC 29909
Phone (843) 706-8690

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

Interoperability endpoints

  • Direct secure messaging: roger.ulrich.1@16436.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1932336849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ARLEY WAY",
            "address_2": "SUITE 201",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104883",
            "telephone_number": "843-706-8690",
            "fax_number": "843-706-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ARLEY WAY",
            "address_2": "SUITE 201",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104883",
            "telephone_number": "843-706-8690",
            "fax_number": "843-706-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "ROGER",
        "middle_name": "WESLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "31911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.