Vijay Paudel, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

21636 Issued in SC

Practice address

8121 Rourk St
Myrtle Beach, SC 29572-4128

Phone

(843) 692-5000

Fax

(843) 692-5015

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Hematology/Oncology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Cancer Center LLCGroup PAC ID 1456265503, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vpaudel48889@directmcleodehealth.org

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.

• Coastal Cancer Center LLC

  • Hematology & Oncology Physician
  • Myrtle Beach, SC
  • NPI 1881614170
  Medicare reassignment Care Compare group NPD Authorized official
• Coastal Cancer Center LLC

  • Hematology & Oncology Physician
  • Conway, SC
  • NPI 1063432391
  NPD Authorized official
• Coastal Cancer Center LLC

  • Hematology & Oncology Physician
  • Loris, SC
  • NPI 1205856556
  NPD Authorized official
• Coastal Cancer Center, LLC

  • Hematology & Oncology Physician
  • Murrells Inlet, SC
  • NPI 1336169531
  NPD Authorized official
• Coastal Cancer Center LLC

  • Community/Retail Pharmacy
  • Myrtle Beach, SC
  • NPI 1447756762

  Hematology & Oncology

  NPD
• Coastal Cancer Center LLC

  • Hematology & Oncology Physician
  • Supply, NC
  • NPI 1013937226
  NPD (past)

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

• Grand Strand Regional Medical Center LLC

  • General Acute Care Hospital
  • Myrlte Beach, SC
  • NPI 1083668669
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1972596484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 ROURK ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724128",
            "telephone_number": "843-692-5000",
            "fax_number": "843-692-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 ROURK ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724128",
            "telephone_number": "843-692-5000",
            "fax_number": "843-692-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUDEL",
        "first_name": "VIJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "21636",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "9801007",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T57925",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89063UV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pooja M Patel
• Suraj Patel, DO
• Patriotmed of Kansas, P.a.
• Amanda Catharine Patterson
• Ryan Cole Patterson Jr., DO
• Angelina Pavlich, CCC-SLP
• Enea Pavliqoti, DDS
• Tricia Payne, LISW-CP
• Kyle Lee Pazzo, MD
• Ian Peace

• Hematology & Oncology Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Hematology & Oncology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.

Verify at the official NPI Registry.