Active NPI
Liana Srisawitri, MD
- Nephrology Physician
- Conway, SC
National Provider Identifier
1992366736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 92166
- Practice address
- 847 Farrar Dr
Conway, SC 29526-8747 - Phone
- (843) 347-9487
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 92166 | SC | Primary |
Addresses
Primary practice location
847 Farrar Dr
Conway, SC 29526-8747
Mailing address
847 Farrar Dr
Conway, SC 29526-8747
Phone (843) 347-9487
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
847 Farrar Dr
Conway, SC 29526-8747
Phone (843) 347-9487
Hospital & facility affiliations
- Conway Medical Center
- McLeod Loris Hospital
- Grand Strand Regional Medical Center
- Tidelands Health Rehabilitation Hospitals
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Kidney Center PA | Nephrology | Current | Accepting new patients |
Locations
847 Farrar Dr
Conway, SC 29526
Phone (843) 347-9487
1151 44th Ave N
Myrtle Beach, SC 29577
Phone (843) 497-7275
Interoperability endpoints
- lsrisawitri70556@direct.acumenmd.com
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.
-
- Nephrology Physician
- Conway, SC
- NPI 1801961537
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1992366736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 FARRAR DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268747",
"telephone_number": "843-347-9487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "847 FARRAR DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268747",
"telephone_number": "843-347-9487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRISAWITRI",
"first_name": "LIANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "SC",
"license": "92166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.