Individual provider Active NPI

Kenneth H. Becker, M.D.

  • Family Medicine Physician
  • Columbia, SC
National Provider Identifier
1992812507
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23572 Issued in SC
Practice address
111 Doctor Cir
Columbia, SC 29203-6502
Phone
(800) 491-0909
NPI assigned
Aug 23, 2006
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 23572 SC
Family Medicine Physician 207Q00000X 23572 SC Primary

Addresses

Primary practice location

111 Doctor Cir
Columbia, SC 29203-6502

Mailing address

111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909

Other identifiers 1

IdentifierTypeStateIssuer
235720MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbecker121843@direct.ghs.myhfn.org Health Information Exchange (HIE)

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
I20040519000379 SC Practitioner - HospitalistPractitioner - Family Practice 4981500477 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians

Practice addresses (Care Compare)

1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909

107 Perpetual SQ
Anderson, SC 29621-1713
Phone (800) 491-0909

111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909

1408 Pkwy
Greenwood, SC 29646-4043
Phone (800) 491-0909

1931 Pelham Rd
Greenville, SC 29615-4002
Phone (800) 491-0909

701 Simpson Rd
Anderson, SC 29621-3077
Phone (800) 491-0909

9 Winchester CT
Mauldin, SC 29662-2626
Phone (800) 491-0909

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
93.51
Promoting interoperability
85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23572SCMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Health System Family Medicine CurrentSince Mar 22, 2015 Accepting new patients
SC House Calls Inc CurrentSince Apr 20, 2016 Accepting new patients
SC House Calls Inc Family Medicine CurrentSince Apr 20, 2016 Accepting new patients
Greenville Health System Current Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Greenville Health System CurrentSince Mar 22, 2015 Accepting new patients
GHS Partners in Health, Inc. Family Medicine CurrentSince Oct 1, 2014 Accepting new patients
Mays Clinic Past Accepting new patients
Woodlandway Family Practice Family Medicine Past Accepting new patients

Locations

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

255 Enterprise Blvd
Ste 100
Greenville, SC 29615
Phone (864) 292-5911

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

100 Omni Dr
#A
Seneca, SC 29672
Phone (864) 885-7520

10110 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0500

109 Omni Dr
#B
Seneca, SC 29672
Phone (864) 882-6141

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

301 Memorial Dr
Ste F
Seneca, SC 29672
Phone (864) 885-7758

772 N Townville St
Seneca, SC 29678
Phone (864) 886-9300

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: kbecker121843@direct.ghs.myhfn.org
  • Direct secure messaging: kenneth.becker.1@7602.direct.athenahealth.com

Organizations & group practices 9

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 2

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1992812507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DOCTOR CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036502",
            "telephone_number": "800-491-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DOCTOR CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036502",
            "telephone_number": "800-491-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "KENNETH",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "23572",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235720",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbecker121843@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Provider",
            "address_1": "298 Memorial Dr",
            "city": "Seneca",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296729443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.