SOUTH CAROLINA ONCOLOGY ASSOC PA
NPI 1467406918
Internal Medicine - Hematology & Oncology in Columbia, SC

Active since May 20, 2006
166 STONERIDGE DR, SOUTH CAROLINA ONCOLOGY ASSOC, COLUMBIA, SC 29210(803) 461-3000(803) 461-4917 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About South Carolina Oncology Assoc Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH CAROLINA ONCOLOGY ASSOC PA (NPI 1467406918) is a healthcare organization registered as a hematology & oncology in Columbia, South Carolina and active in the NPI registry since May 2006. The organization lists Fred J Kudrik, President, as its authorized official.

NPPES Registry Identity

NPI1467406918
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameSOUTH CAROLINA ONCOLOGY ASSOC PA
Location Address166 STONERIDGE DR, SOUTH CAROLINA ONCOLOGY ASSOCColumbia, SC 29210
Mailing AddressPo Box 2046West Columbia, SC 29171 · (803) 461-3000 · Fax (803) 461-4917
Fax(803) 461-4917
Organization SubpartNo
Authorized OfficialFred J KudrikPresident · (803) 461-3000
Enumeration DateMay 20, 2006
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1467406918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
166 STONERIDGE DR, Columbia, SC 29210

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Carolina Oncology Assoc Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth CarolinaEnrollment IDO20100930002604DME · Physician - Hematology/OncologyDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

35

Medicare enrollment records show 35 clinicians reassign Medicare billing to South Carolina Oncology Assoc PA, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Hematology/Oncology12
Nurse Practitioner8
Internal Medicine6
Radiation Oncology6
Gynecological Oncology2
Medical Oncology1

Nearest to this location (20)

See all 35
Hematology/Oncology
NPI 1912988536
166 STONERIDGE DR
Columbia, SC 29210
(803) 461-3000
✔ PECOSSame address
Hematology/Oncology
NPI 1215918545
166 STONERIDGE DR
Columbia, SC 29210
(803) 461-3000
✔ PECOSSame address
Radiation Oncology
NPI 1568725810
166 STONERIDGE DR
Columbia, SC 29210
(803) 461-3000
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1881725364
166 STONERIDGE DR
Columbia, SC 29210
(803) 461-3000
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1447474978
166 STONERIDGE DRIVE
Columbia, SC 29210
(803) 461-3000
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1417068347
166 STONERIDGE DR
Columbia, SC 29210
(803) 461-3000
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1104807668
166 STONERIDGE DR
Columbia, SC 29210
(803) 461-3000
✔ PECOS✔ Accepts MedicareSame address
Gynecological Oncology
NPI 1609070143
166 STONERIDGE DR
Columbia, SC 29210
(803) 461-3000
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1962799452
166 STONERIDGE DR
Columbia, SC 29210
(803) 461-3000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346401965
166 STONERIDGE DRIVE SOUTH CAROLINA ONCOLOGY ASSOCIATES, PA
Columbia, SC 29045
(803) 461-3000
✔ PECOSSame address
Hematology/Oncology
NPI 1649431990
166 STONERIDGE DR
Columbia, SC 29210
(803) 461-3000
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1942281399
166 STONERIDGE DR
Columbia, SC 29210
(803) 461-3000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467893891
166 STONERIDGE DR
Columbia, SC 29210
(803) 461-3000
✔ PECOSSame address
Internal Medicine
NPI 1073658332
166 STONERIDGE DR
Columbia, SC 29210
(803) 461-3049
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1932275336
166 STONERIDGE DR
Columbia, SC 29210
(803) 461-3000
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1376855981
166 STONERIDGE DR
Columbia, SC 29210
(803) 461-3000
✔ PECOS✔ Accepts MedicareSame address
Gynecological Oncology
NPI 1528040854
166 STONERIDGE DR
Columbia, SC 29210
(803) 461-3000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558496448
166 STONERIDGE DRIVE
Columbia, SC 29210
(803) 461-3000
✔ PECOSSame address
Radiation Oncology
NPI 1467899534
166 STONERIDGE DR
Columbia, SC 29210
(803) 431-3000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1710333133
8 RICHLAND MEDICAL PARK, SUITE 420
Columbia, SC 29203
(803) 545-6050
✔ PECOS2.5 mi
See all 35 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories South Carolina Oncology Assoc PA carries, from the Medicare DMEPOS supplier directory.

South Carolina Oncology Assoc PA

DMEPOS supplier · Columbia, SC
✔

Accepts Medicare assignment

South Carolina Oncology Assoc PA agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20633549
Medicare Participant SinceJune 7, 1999
Supplier Location166 Stoneridge DrColumbia, SC 29210
Provider TypePhysician – Hematology/Oncology
Supplier Specialties
Pharmacy

Medicare Product Categories

Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 South Carolina Oncology Assoc PA's NPI number?

The NPI number for South Carolina Oncology Assoc PA is 1467406918. It was assigned to this organization in the NPPES registry on May 20, 2006.

Where is South Carolina Oncology Assoc PA located?

South Carolina Oncology Assoc PA is located at 166 Stoneridge Dr South Carolina Oncology Assoc, Columbia, SC 29210. The listed phone number is (803) 461-3000.

What is South Carolina Oncology Assoc PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is South Carolina Oncology Assoc PA enrolled in Medicare?

Yes. South Carolina Oncology Assoc PA is registered in the Medicare PECOS enrollment system.

When is South Carolina Oncology Assoc PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (South Carolina, Physician - Hematology/Oncology) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through South Carolina Oncology Assoc PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 6 Medicare specialties reassign their Medicare billing to South Carolina Oncology Assoc PA. A 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 the clinician's services. The largest specialties are Hematology/Oncology (12), Nurse Practitioner (8) and Internal Medicine (6). Of these, 19 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Carolina Oncology Assoc PA accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, South Carolina Oncology Assoc PA accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does South Carolina Oncology Assoc PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list South Carolina Oncology Assoc PA 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 South Carolina Oncology Assoc PA was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.