Individual provider Active NPI

John Funke III, MD

  • Radiation Oncology Physician
  • Hilton Head, SC
National Provider Identifier
1982668646
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
11930 Issued in SC
Practice address
25 Hospital Center Blvd Ste 101
Hilton Head, SC 29926-2735
Phone
(843) 689-6490
NPI assigned
Apr 12, 2006
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 11930 SC Primary

Addresses

Primary practice location

25 Hospital Center Blvd Ste 101
Hilton Head, SC 29926-2735

Mailing address

8526 Oyster Factory Rd
Edisto Island, SC 29438-6876
Phone (864) 337-2899

Other practice location 1

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4741

Other practice location 2

100 Buckwalter Place Blvd Ste 150
Bluffton, SC 29910-5023
Phone (843) 208-2895

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
I20100923000110 SC Practitioner - Radiation Oncology 4789700105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Medical University of South Carolina College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SJC Oncology Services South Carolina LLCGroup PAC ID 0143217273, 14 clinicians
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians

Practice addresses (Care Compare)

25 Hospital Ctr Blvd
Suite 101
Hilton Head Island, SC 29926-2735
Phone (843) 689-6490

298 Commerce Dr
Newberry, SC 29108-2953
Phone (803) 321-3232

Merit-based Incentive Payment System (MIPS)

Final score
77.44 of 100Reported as group
Quality
82.45
Improvement activities
40
Cost
48.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Self Medical Group Radiation Oncology CurrentSince Apr 15, 2025 Accepting new patients
SJC Oncology Services-South Carolina, LLC Radiation Oncology CurrentSince Aug 26, 2024 Accepting new patients
Self Medical Group Current Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

836 E 65th St
Ste 22
Savannah, GA 31405
Phone (912) 819-7878

100 Buckwalter Place Blvd
Ste 150
Bluffton, SC 29910
Phone (843) 208-2895

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

25 Hospital Center Blvd
Ste 101
Hilton Head Island, SC 29926
Phone (843) 689-6490

298 Commerce Dr
Newberry, SC 29108
Phone (803) 321-3232

Interoperability endpoints

  • Direct secure messaging: jfunke@selfregional.direct.varian.com
  • Direct secure messaging: jfunke188629@selfregional.direct-ci.net

Organizations & group practices 4

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1982668646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8526 OYSTER FACTORY RD",
            "city": "EDISTO ISLAND",
            "state": "SC",
            "postal_code": "294386876",
            "telephone_number": "864-337-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL CENTER BLVD STE 101",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262735",
            "telephone_number": "843-689-6490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Spring St",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296463860",
            "country_code": "US",
            "telephone_number": "864-725-4741",
            "fax_number": "864-725-4743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Buckwalter Place Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299105023",
            "country_code": "US",
            "telephone_number": "843-208-2895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNKE",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SC",
            "license": "11930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

Verify at the official NPI Registry.