NPIMap

Individual provider Active NPI

William F. Marsteller IV, M.D.

  • Gastroenterology Physician
  • Charleston, SC
National Provider Identifier
1992917504
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
32824 Issued in SC
Practice address
1962 Charlie Hall Blvd.
Charleston, SC 29414
Phone
(843) 722-8000
Fax
(843) 647-6066
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 32824 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1962 Charlie Hall Blvd.
Charleston, SC 29414

Mailing address

2001 2ND Ave Ste 101
Summerville, SC 29486-7887
Phone (843) 793-5182

Other identifiers 1

IdentifierTypeStateIssuer
GP0680MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130606000004 SC Practitioner - GastroenterologyPractitioner - Internal Medicine 7719037423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Ohio State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1962 Charlie Hall Blvd
Charleston, SC 29414-5837
Phone (843) 722-8000

328 Midland Pkwy
Summerville, SC 29485-8102
Phone (843) 722-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy172
Upper gastrointestinal (GI) endoscopy for acid reflux204

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Gastroenterology Specialists CurrentSince Aug 1, 2013 Accepting new patients
Charleston Gastroenterology Specialists CurrentSince Aug 1, 2013 Accepting new patients

Locations

1962 Charlie Hall Blvd
Charleston, SC 29414
Phone (803) 722-8000

180 Wingo Way
Ste 305
Mt Pleasant, SC 29464
Phone (843) 722-8000

2001 2nd Ave
Ste 101
Summerville, SC 29486
Phone (843) 722-8000

328 Midland Pkwy
Summerville, SC 29485
Phone (843) 722-8000

Organizations & group practices 2

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 10

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1992917504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 2ND AVE STE 101",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867887",
            "telephone_number": "843-793-5182",
            "fax_number": "843-266-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 CHARLIE HALL BLVD.",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29414",
            "telephone_number": "843-722-8000",
            "fax_number": "843-647-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSTELLER",
        "first_name": "WILLIAM",
        "middle_name": "F.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "32824",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0680",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.