Nirav Rameshchandra Pathak, MD - Medicare Hospitalist in Sumter, SC

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Nirav Rameshchandra Pathak, MD is a medicare enrolled "Hospitalist" physician in Sumter, South Carolina. He graduated from medical school in 1993 and has 33 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Prisma Health Medical Group-midlands and his current practice location is 129 N Washington St, Sumter, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 774-9680.

Nirav Rameshchandra Pathak is licensed to practice in South Carolina (license number 26303) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790795649.

Contact Information

Nirav Rameshchandra Pathak, MD
129 N Washington St,
Sumter, SC 29150-4949
(803) 774-9680
(803) 434-3955

Map and Direction




Physician's Profile

Full NameNirav Rameshchandra Pathak
GenderMale
SpecialityHospitalist
Experience33 Years
Location129 N Washington St, Sumter, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nirav Rameshchandra Pathak graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1790795649
  • Provider Enumeration Date: 08/09/2006
  • Last Update Date: 03/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4284727421
  • Enrollment ID: I20070905000219

Medical Identifiers

Medical identifiers for Nirav Rameshchandra Pathak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790795649NPI-NPPES
263039MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 26303 (South Carolina)Secondary
208M00000XHospitalist 26303 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prisma Health Richland HospitalColumbia, SCHospital
Prisma Health BaptistColumbia, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prisma Health Medical Group-midlands5991099707919

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nirav Rameshchandra Pathak allows following entities to bill medicare on his behalf.
Entity NameSouth Carolina Dept Of Mental Health Accounting Office
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760596480
PECOS PAC ID: 9032021175
Enrollment ID: O20031215000552
Entity NamePrisma Health Medical Group-midlands
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275988321
PECOS PAC ID: 5991099707
Enrollment ID: O20160802001226
Entity NameLexington Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710634753
PECOS PAC ID: 2567872070
Enrollment ID: O20201208000922
Entity NameUniversal Therapy & Testing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558134825
PECOS PAC ID: 5395284988
Enrollment ID: O20240827003158

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nirav Rameshchandra Pathak is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nirav Rameshchandra Pathak, MD
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842

Ph: (864) 522-8603		Nirav Rameshchandra Pathak, MD
129 N Washington St,
Sumter, SC 29150-4949

Ph: (803) 774-9680

Reviews and Comments


Hospitalist Doctors in Sumter, SC

Dr. Terry Anthony Godfrey, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 129 N Washington St, Sumter, SC 29150
Phone: 803-774-9680    
Adam Marcus Sebasi, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 129 N Washington St, Sumter, SC 29150
Phone: 803-434-6771    Fax: 803-434-3955
Dr. Suwarat Wongjittraporn, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 129 N Washington St, Sumter, SC 29150
Phone: 803-771-1788    Fax: 803-774-9113
Abhishek Malkan,
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 129 N Washington St, Sumter, SC 29150
Phone: 803-774-9680    Fax: 803-434-3955
Guy R Bibeau, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 129 N Washington St, Sumter, SC 29150
Phone: 803-778-5248    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.