NPIMap

Ezzat El-Bayoumi, MD

Individual provider Active NPI Pulmonary Disease Physician · Greenville, SC

NPI 1962440149 · NPPES record last updated Jul 10, 2013

Key facts

NPI
1962440149
Entity type
Individual (NPI type 1)
Primary specialty
Pulmonary Disease Physician 207RP1001X
License
28255 (SC)
Practice address
3 Saint Francis Dr
Suite 300
Greenville, SC 29601-3971
Phone
(864) 233-8063
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 11

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 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Pulmonary Disease
Also: Critical Care (Intensivists)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Greenville Specialty Care LLC (290 clinicians)

Practice addresses (Care Compare)

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (513) 853-8520

125 Commonwealth Dr
Greenville, SC 29615-4812
Phone (864) 675-4000

135 Commonwealth Dr
Greenville, SC 29615-4850

3 Saint Francis Dr
Greenville, SC 29601-3972

317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901

910 N Main St
Fountain Inn, SC 29644-1320

Hospital & facility affiliations

  • St Francis-Downtown Hospital · Greenville, SC · CCN 420023

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20081014000516 SC Practitioner - Pulmonary Disease
Practitioner - Internal Medicine
Practitioner - Critical Care (Intensivists)		 1456429729 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Hospital Inc Current
since Mar 20, 2011		 Accepting new patients
St. Francis Hospital, Inc. Current Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC Current
since May 21, 2022		 Accepting new patients
St Francis Hospital Inc Current
since Mar 20, 2011		 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC Current
since May 21, 2022		 Accepting new patients
St Francis Physician Services Inc Past Accepting new patients

Locations

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

3 Saint Francis Dr
Ste 300
Greenville, SC 29601
Phone (864) 233-8063

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

1 Saint Francis Dr
Fl 4
Greenville, SC 29601
Phone (864) 255-1401

135 Commonwealth Dr
Ste 230
Greenville, SC 29615
Phone (864) 365-0250

Interoperability endpoints

  • Direct secure messaging: eelbayoumi1150900@direct.bsmhealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 28255 SC Yes

Addresses

Primary practice location

3 Saint Francis Dr
Suite 300
Greenville, SC 29601-3971

Mailing address

3 Saint Francis Dr
Suite 300
Greenville, SC 29601-3971
Phone (864) 233-8063

Other identifiers

IdentifierTypeStateIssuer
282553MedicaidSC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 10, 2013.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1962440149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SAINT FRANCIS DR",
            "address_2": "SUITE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013971",
            "telephone_number": "864-233-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SAINT FRANCIS DR",
            "address_2": "SUITE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013971",
            "telephone_number": "864-233-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-BAYOUMI",
        "first_name": "EZZAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "28255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282553",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

All providers in Greenville, SC · Pulmonary Disease Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.