Active NPI
Sofia Aksentijevich, MD
- Rheumatology Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 34312
- Practice address
- 14 E Farmfield Avenue
Charleston, SC 29407-7757 - Phone
- (843) 571-6067
- Fax
- (843) 769-4853
- NPI assigned
- Feb 1, 2007
- Last updated
- Sep 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 34312 | SC | Primary |
Addresses
Primary practice location
14 E Farmfield Avenue
Charleston, SC 29407-7757
Mailing address
14 E Farmfield Avenue
Charleston, SC 29407-7757
Phone (843) 571-6067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 343122 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- 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
- Rheumatology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 E Greenville St
Suite 5130
Anderson, SC 29621-1580
Phone (864) 512-4590
705 -A 6TH Ave W
Hendersonville, NC 28739-4164
Phone (828) 694-4552
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Rheumatology | Current | Accepting new patients |
| Anmed Health | Current | Accepting new patients |
Locations
2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131
2000 E Greenville St
Ste 5130
Anderson, SC 29621
Phone (864) 225-5131
Interoperability endpoints
- saksentijevich83945@direct.anmedhealth.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AnMed Health Westside Family Medicine
- Family Medicine Physician
- Anderson, SC
- NPI 1639102270
-
dba Pardee Medical Associates
- Multi-Specialty Clinic/Center
- Hendersonville, NC
- NPI 1447444559
-
dba AnMed Primary Care - Piedmont
- Family Medicine Physician
- Piedmont, SC
- NPI 1255137832
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Margaret R. Pardee Memorial Hospital
- General Acute Care Hospital
- Hendersonville, NC
- NPI 1144247982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1952449290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 E FARMFIELD AVENUE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077757",
"telephone_number": "843-571-6067",
"fax_number": "843-769-4853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 E FARMFIELD AVENUE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077757",
"telephone_number": "843-571-6067",
"fax_number": "843-769-4853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKSENTIJEVICH",
"first_name": "SOFIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "SC",
"license": "34312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "343122",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.