Individual provider Active NPI

Karthik P Karanam, MD

  • Nephrology Physician
  • Florence, SC
National Provider Identifier
1982837415
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD37981 Issued in SC
Practice address
1100 E Cheves St
Florence, SC 29506-2708
Phone
(843) 669-6694
Fax
(843) 669-2500
NPI assigned
Sep 1, 2009
Last updated
Sep 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT192193 PA
Internal Medicine Physician 207R00000X 01069628A IN
Nephrology Physician 207RN0300X MD37981 SC Primary

Addresses

Primary practice location

1100 E Cheves St
Florence, SC 29506-2708

Mailing address

1100 E Cheves St
Florence, SC 29506-2708
Phone (843) 669-6694

Other identifiers 1

IdentifierTypeStateIssuer
201027410MedicaidIN

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
I20151020000011 SC Practitioner - NephrologyPractitioner - Internal Medicine 8426236217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pee Dee Nephrology LLPGroup PAC ID 6507853629, 9 clinicians

Practice addresses (Care Compare)

1100 E Cheves St
Florence, SC 29506-2708
Phone (843) 669-6694

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01069628AINMDInternal Medicine Physician
MT192193PAMDInternal Medicine Physician
MD37981SCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pee Dee Nephrology LLP Nephrology CurrentSince Aug 15, 2015 Accepting new patients
Advanced Nutrition Consultants Inc CurrentSince Aug 15, 2015 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc. Past Accepting new patients

Locations

1100 E Cheves St
Florence, SC 29506
Phone (843) 669-6694

Interoperability endpoints

  • Direct secure messaging: kkaranam24143@direct.acumenmd.com
  • Direct secure messaging: kkarthik41386@directmcleodehealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 11

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": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1982837415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062708",
            "telephone_number": "843-669-6694",
            "fax_number": "843-669-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062708",
            "telephone_number": "843-669-6694",
            "fax_number": "843-669-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARANAM",
        "first_name": "KARTHIK",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT192193",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01069628A",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "MD37981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201027410",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.