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DR. ALFONSO L SANGTIAN JR. M.D.
NPI 1598766529
Pediatrics - Adolescent Medicine in Conway, SC

Active since August 01, 2005PECOS Enrolled
8030 MYRTLE TRACE DR, CONWAY, SC 29526(843) 347-4677(843) 347-4678 Get Directions Write a Review

NPPES record last updated: September 1, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Alfonso L Sangtian Jr. M.d. NPPES

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

DR. ALFONSO L SANGTIAN JR. M.D. (NPI 1598766529) is an individual adolescent medicine provider in Conway, South Carolina, licensed in South Carolina (16605) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598766529
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. ALFONSO L SANGTIAN JR.Credential: M.D.
Location Address8030 MYRTLE TRACE DRConway, SC 29526-8957
Mailing Address8030 Myrtle Trace DrConway, SC 29526-8957 · (843) 347-4677 · Fax (843) 347-4678
Phone(843) 347-4677
Fax(843) 347-4678
Sole ProprietorNo
Enumeration DateAugust 1, 2005
Last NPPES UpdateSeptember 1, 2017
✔ NPI 1598766529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in SC · 16605
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
8030 MYRTLE TRACE DR, Conway, SC 29526
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Other Identifiers 4

Other16605SC · State License
Medicare ID-Type UnspecifiedE623982184SC · Medicare Id
Medicare UPINE62398SC
Medicaid166055SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alfonso L Sangtian Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alfonso Sangtian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Careteam Plus, Inc.
0.5 mi
Federally Qualified Health Center (FQHC)
132 PROFESSIONAL PARK DR
Conway, SC 29526
  • Reassigned Medicare billing, South Carolina enrollment
  • 16 clinicians in this Medicare group
NPI 1194541383 (843) 234-0005

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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COASTAL PEDIATRICS
Clinic/Center (Primary Care)
8030 MYRTLE TRACE DR
CONWAY, SC 29526
Horry County (843) 347-4677
DR. JAMES MELVIN LINDSEY JR. M.D.
Pediatrics
8030 MYRTLE TRACE DR
CONWAY, SC 29526
Horry County (843) 347-4677
COASTAL PEDIATRICS
Pediatrics
8030 MYRTLE TRACE DR
CONWAY, SC 29526
Horry County (843) 347-4677

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 Alfonso Sangtian's NPI number?

The NPI number for Alfonso Sangtian is 1598766529. It was assigned to this individual provider in the NPPES registry on August 1, 2005.

Where is Alfonso Sangtian located?

Alfonso Sangtian practices at 8030 Myrtle Trace Dr, Conway, SC 29526. The listed phone number is (843) 347-4677.

What is Alfonso Sangtian's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Alfonso Sangtian enrolled in Medicare?

Yes. Alfonso Sangtian is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alfonso Sangtian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alfonso Sangtian reassigns Medicare benefits to Careteam Plus, Inc. (Conway, 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 Alfonso Sangtian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alfonso Sangtian accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next list Alfonso Sangtian 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 Alfonso Sangtian was last updated on September 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.