Individual provider Active NPI

Robert Wozniak, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Rock Hill, SC
National Provider Identifier
1942282470
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
21019 Issued in SC
Practice address
410 S Herlong Ave
Suite 106
Rock Hill, SC 29732-8349
Phone
(803) 329-3899
Fax
(803) 327-3438
NPI assigned
Nov 18, 2005
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 21019 SC Primary

Addresses

Primary practice location

410 S Herlong Ave
Suite 106
Rock Hill, SC 29732-8349

Mailing address

410 S Herlong Ave
Suite 106
Rock Hill, SC 29732-8349
Phone (803) 329-3899

Other identifiers 3

IdentifierTypeStateIssuer
2001726OtherNCMEDICARE LEGACY
210195MedicaidSC
H008727551OtherSCMEDICARE LEGACY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20031111000264 NC Practitioner - Endocrinology 0345153086 Reassigns benefits to 1 organization
I20040427000183 SC Practitioner - Endocrinology 0345153086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert Wozniak MD PAGroup PAC ID 5193638898, 4 clinicians

Practice addresses (Care Compare)

16147 Lancaster Hwy 140
Charlotte, NC 28277-2050
Phone (704) 544-3166

410 Herlong Ave S
Suite 106
Rock Hill, SC 29732-8350

410 S Herlong Ave
Rock Hill, SC 29732-8350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.64 of 100Reported as individual
Quality
94.81
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wozniak MD PA Endocrinology, Diabetes & Metabolism CurrentSince Oct 4, 1999 Accepting new patients
Digestive Disease Associates of York Coutny PA PastSince Nov 1, 1991 Accepting new patients
Palmetto Preferred, OB/GYN, LLC Past Accepting new patients

Locations

16147 Lancaster Hwy
Ste 140
Charlotte, NC 28277
Phone (704) 208-4134

834 W Meeting St
Ste B
Lancaster, SC 29720
Phone (803) 286-4405

410 Herlong Ave S
Ste 106
Rock Hill, SC 29732
Phone (803) 329-3899

Interoperability endpoints

  • Direct secure messaging: robert.wozniak.1@18463.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1942282470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S HERLONG AVE",
            "address_2": "SUITE 106",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328349",
            "telephone_number": "803-329-3899",
            "fax_number": "803-327-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S HERLONG AVE",
            "address_2": "SUITE 106",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328349",
            "telephone_number": "803-329-3899",
            "fax_number": "803-327-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOZNIAK",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SC",
            "license": "21019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "2001726",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210195",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "H008727551",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.