Individual provider Active NPI

Sofia Aksentijevich, MD

  • Rheumatology Physician
  • Charleston, SC
National Provider Identifier
1952449290
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
34312 Issued in SC
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
343122MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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
I20120511000255 SC Practitioner - RheumatologyPractitioner - Internal Medicine 3274631056 Reassigns benefits to 1 organization
I20260422000074 NC Practitioner - RheumatologyPractitioner - Internal Medicine 3274631056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, 348 clinicians

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

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Jan 15, 2025 Accepting new patients
Anmed Health Rheumatology CurrentSince Jan 15, 2025 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.