Individual provider Active NPI

Orchidee Djahangirian, MD

  • Pediatric Urology Physician
  • Greenville, SC
National Provider Identifier
1972911774
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
94281 Issued in SC
Practice address
200 Patewood Dr Ste A115
Greenville, SC 29615-3547
Phone
(864) 454-5135
NPI assigned
Jul 25, 2014
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 94281 SC
Pediatric Urology Physician 2088P0231X 94281 SC Primary

Addresses

Primary practice location

200 Patewood Dr Ste A115
Greenville, SC 29615-3547

Mailing address

200 Patewood Dr Ste A115
Greenville, SC 29615-3547
Phone (864) 454-5135

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
I20250519002031 SC Practitioner - Urology 5092029389 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94281SCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jul 7, 2025 Accepting new patients
Prisma Health University Medical Group CurrentSince Jul 7, 2025 Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

200 Patewood Dr
Ste A115
Greenville, SC 29615
Phone (864) 454-5105

Interoperability endpoints

  • Direct secure messaging: odjahangirian856606@direct.ghs.myhfn.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1972911774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PATEWOOD DR STE A115",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153547",
            "telephone_number": "864-454-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PATEWOOD DR STE A115",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153547",
            "telephone_number": "864-454-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJAHANGIRIAN",
        "first_name": "ORCHIDEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "94281",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "SC",
            "license": "94281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.