Individual provider Active NPI

Larry H Pennington, MD

  • Gastroenterology Physician
  • Rock Hill, SC
National Provider Identifier
1962463554
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
20016 Issued in SC
Practice address
170 Amendment Ave
Digestive Disease Associates of York County PA
Rock Hill, SC 29732
Phone
(803) 324-7607
Fax
(803) 324-1449
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 20016 SC Primary

Addresses

Primary practice location

170 Amendment Ave
Digestive Disease Associates of York County PA
Rock Hill, SC 29732

Mailing address

170 Amendment Ave
Rock Hill, SC 29732
Phone (803) 324-7607

Other identifiers 1

IdentifierTypeStateIssuer
200160MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110713000009 SC Practitioner - Gastroenterology 4284735754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Medical University of South Carolina College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Disease Associates of York Coutny PAGroup PAC ID 6002892619, 8 clinicians

Practice addresses (Care Compare)

170 Amendment Ave
Rock Hill, SC 29732-3073
Phone (803) 324-7607

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.85 of 100Reported as group
Quality
85.89
Improvement activities
40
Cost
81.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy149
Upper gastrointestinal (GI) endoscopy for acid reflux108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Associates of York Coutny PA CurrentSince Jul 1, 1998 Accepting new patients

Locations

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

170 Amendment Ave
Rock Hill, SC 29732
Phone (803) 324-7607

Organizations & group practices 1

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 3

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1962463554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 AMENDMENT AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-324-7607",
            "fax_number": "803-324-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 AMENDMENT AVE",
            "address_2": "DIGESTIVE DISEASE ASSOCIATES OF YORK COUNTY PA",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-324-7607",
            "fax_number": "803-324-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "LARRY",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "20016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200160",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.