DR. SYLVIA ELAINE SZENTPETERY M.D.
NPI 1396035424
Pediatrics - Pediatric Pulmonology in Charleston, SC
About Dr. Sylvia Elaine Szentpetery M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SYLVIA ELAINE SZENTPETERY M.D. (NPI 1396035424) is an individual pediatric pulmonology provider in Charleston, South Carolina, licensed in South Carolina (40648) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charleston, and is a graduate of Tulane University School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Sylvia Elaine Szentpetery M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Sylvia Szentpetery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charleston, SC 29425
- Reassigned Medicare billing, South Carolina enrollment
- 2,594 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLESTON, SC 29425
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sylvia Szentpetery's NPI number?
The NPI number for Sylvia Szentpetery is 1396035424. It was assigned to this individual provider in the NPPES registry on April 11, 2011.
Where is Sylvia Szentpetery located?
Sylvia Szentpetery practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.
What is Sylvia Szentpetery's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.
Is Sylvia Szentpetery enrolled in Medicare?
Yes. Sylvia Szentpetery is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Sylvia Szentpetery's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sylvia Szentpetery reassigns Medicare benefits to University Medical Associates Of The Medical University Of South Carol (Charleston, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sylvia Szentpetery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sylvia Szentpetery accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers list Sylvia Szentpetery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sylvia Szentpetery was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Sylvia Elaine Szentpetery, M.D. · NPI 1396035424
Pediatric Pulmonology physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since April 11, 2011.
## Identity
- **NPI:** 1396035424 (Entity type: Individual)
- **Enumerated:** April 11, 2011
- **Primary specialty:** Pediatrics - Pediatric Pulmonology · taxonomy 2080P0214X
- **State license:** 40648 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 171 ASHLEY AVE, Charleston, SC 29425-0816
- **Phone:** (843) 792-1414
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Medical Associates Of The Medical University Of South Carol (NPI 1013934629, Charleston, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tulane University School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** October 22, 2026
- **Other identifiers:** Medicaid 406484 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1396035424) · Data from the CMS NPPES public registry.