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HENNA BAZAI
NPI 1699493742
Student in an Organized Health Care Education/Training Program in Conway, SC

Active since August 15, 2022PECOS Enrolled
300 SINGLETON RIDGE ROAD, CONWAY, SC 29526(843) 347-7111 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2025, May 17, 2023, Aug 15, 2022 (3 updates tracked since 2022).

About Henna Bazai NPPES

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

HENNA BAZAI (NPI 1699493742) is an individual student in an organized health care education/training program in Conway, South Carolina and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Conway Medical Center, and is a graduate of Saint Louis University School Of Medicine (2023).

NPPES Registry Identity

NPI1699493742
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHENNA BAZAI
Location Address300 SINGLETON RIDGE ROADConway, SC 29526-9142
Mailing Address300 Singleton Ridge RdConway, SC 29526-9142 · (843) 347-8134
Phone(843) 347-7111
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 2023
Enumeration DateAugust 15, 2022
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1699493742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 89845 (SC)
300 SINGLETON RIDGE ROAD, Conway, SC 29526
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Henna Bazai is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981042827
PECOS Enrollment IDI20260204000841
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Conway Medical Center

Acute Care Hospitals · Conway, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420049
Location300 Singleton Ridge RoadConway, SC 29526 · Horry County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 11

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

NAJLA ITANI MD
Internal Medicine (Hematology & Oncology)
300 SINGLETON RIDGE ROAD
CONWAY, SC 29526
Horry County (843) 347-8050
CONWAY HOSPITAL, INC.
Rehabilitation Unit
300 SINGLETON RIDGE ROAD
CONWAY, SC 29526
Horry County (843) 347-8398
DR. IHOR V MELNYTSKYY M.D.
Anesthesiology
300 SINGLETON RIDGE ROAD, CONWAY MEDICAL CENTER
CONWAY, SC 29526
Horry County (843) 347-7111
AARON TOLLEY
Student in an Organized Health Care Education/Training Program
300 SINGLETON RIDGE ROAD
CONWAY, SC 29526
Horry County (843) 347-8134
MAC EVERETT JOLLY DO
General Practice
300 SINGLETON RIDGE ROAD
CONWAY, SC 29526
Horry County (843) 347-8134
CONWAY HOSPITAL EMERGENCY PROFESSIONAL SERVICES
Emergency Medicine
300 SINGLETON RIDGE ROAD
CONWAY, SC 29526
Horry County (843) 347-7111
MS. NISHITHA REDDY THUMALLAPALLY MD
Internal Medicine (Hematology & Oncology)
300 SINGLETON RIDGE ROAD
CONWAY, SC 29526
Horry County (843) 347-8050
CAROLINE MBONGO
Student in an Organized Health Care Education/Training Program
300 SINGLETON RIDGE ROAD
CONWAY, SC 29526
Horry County (843) 347-8134

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 Henna Bazai's NPI number?

The NPI number for Henna Bazai is 1699493742. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Where is Henna Bazai located?

Henna Bazai practices at 300 Singleton Ridge Road, Conway, SC 29526. The listed phone number is (843) 347-7111.

What is Henna Bazai's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Henna Bazai enrolled in Medicare?

Yes. Henna Bazai is registered in the Medicare PECOS enrollment system.

Is Henna Bazai affiliated with any hospitals?

According to CMS data, Henna Bazai is affiliated with Conway Medical Center.

When was this NPI record last updated?

The NPPES record for Henna Bazai was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.