Individual provider Active NPI

Alan I Nussbaum, M.D.

  • Rheumatology Physician
  • Charleston, SC
National Provider Identifier
1982645529
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
9904 Issued in SC
Practice address
14 Farmfield Ave
Suite E
Charleston, SC 29407-7757
Phone
(843) 571-6067
Fax
(843) 769-4853
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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 9904 SC Primary

Addresses

Primary practice location

14 Farmfield Ave
Suite E
Charleston, SC 29407-7757

Mailing address

14 Farmfield Ave
Suite E
Charleston, SC 29407-7757
Phone (843) 571-6067

Other identifiers 1

IdentifierTypeStateIssuer
099048MedicaidSC

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
I20111022000025 SC Practitioner - Rheumatology 3173674595 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates, P.a. Rheumatology CurrentSince Sep 1, 1982 Accepting new patients

Locations

14 Farmfield Ave
Ste E
Charleston, SC 29407
Phone (803) 571-6067

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1982645529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FARMFIELD AVE",
            "address_2": "SUITE E",
            "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 FARMFIELD AVE",
            "address_2": "SUITE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077757",
            "telephone_number": "843-571-6067",
            "fax_number": "843-769-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "ALAN",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "SC",
            "license": "9904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099048",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.