NPIMap

Individual provider Active NPI

Ted Samaddar, M.D., M.P.H.

  • Surgery Physician
  • Charleston, SC
National Provider Identifier
1992147862
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
38485 Issued in SC
Practice address
169 Ashley Ave
Room 202 Main Hospital MSC 333
Charleston, SC 29425-8905
Phone
(843) 792-3072
NPI assigned
Jul 20, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 38485 SC Primary

Addresses

Primary practice location

169 Ashley Ave
Room 202 Main Hospital MSC 333
Charleston, SC 29425-8905

Mailing address

169 Ashley Ave
Room 202 Main Hospital MSC 333
Charleston, SC 29425-8905
Phone (843) 792-3072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210722001076 GA Practitioner - Orthopedic Surgery 7113227224 Reassigns benefits to 2 organizations
I20210723002281 SC Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 7113227224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Mercer University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Practice addresses (Care Compare)

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

75 Baylor Dr
Suite 155
Bluffton, SC 29910-8965
Phone (843) 682-7480

876 Fording Island Rd
Bluffton, SC 29910-8677
Phone (843) 507-8473

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84 of 100Reported as group
Quality
65.06
Promoting interoperability
98
Improvement activities
40
Cost
83.28

Merit-based Incentive Payment System (MIPS)

Final score
79.72 of 100Reported as group
Quality
63.11
Promoting interoperability
100
Improvement activities
40
Cost
69.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)54
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hilton Head Regional Physician Group LLC CurrentSince Feb 1, 2024 Accepting new patients
Hilton Head Regional Physician Group LLC Surgery CurrentSince Feb 1, 2024 Accepting new patients
Hilton Head Heart PA Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

75 Baylor Dr
Ste 155
Bluffton, SC 29910
Phone (843) 706-2523

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

25 Hospital Ctr
Ste 300
Hilton Head Island, SC 29926
Phone (843) 681-8203

8 Hospital Center Blvd
Ste 130
Hilton Head Island, SC 29926
Phone (843) 682-2740

Interoperability endpoints

  • Direct secure messaging: ted.samaddar.1@30548.direct.athenahealth.com
  • Direct secure messaging: ted.samaddar.1@18355.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1374278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1992147862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE",
            "address_2": "ROOM 202 MAIN HOSPITAL MSC 333",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258905",
            "telephone_number": "843-792-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE",
            "address_2": "ROOM 202 MAIN HOSPITAL MSC 333",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258905",
            "telephone_number": "843-792-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMADDAR",
        "first_name": "TED",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-20",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "38485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.