AMANDA JACQUELYN DIDOLKAR MD
NPI 1699937862
Pediatrics in Myrtle Beach, SC

Q: What is Amanda Didolkar's NPI number?

The NPI number for Amanda Didolkar is 1699937862. It was assigned to this individual provider in the NPPES registry on June 30, 2008. The provider is also known as Amanda Jacquelyn Doherty.

Q: What is Amanda Didolkar's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Didolkar was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 30, 2008PECOS Enrolled

4022 POSTAL WAY STE C, MYRTLE BEACH, SC 29579(843) 903-4111(843) 903-4242 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2024, Apr 20, 2022, Mar 4, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Amanda Jacquelyn Didolkar Md NPPES

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

AMANDA JACQUELYN DIDOLKAR MD (NPI 1699937862) is an individual pediatrics provider in Myrtle Beach, South Carolina, licensed in South Carolina (84825) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1699937862

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameAMANDA JACQUELYN DIDOLKARCredential: MD

Location Address4022 POSTAL WAY STE CMyrtle Beach, SC 29579-3537

Mailing Address300 Singleton Ridge Rd, Attention Patient AccountingConway, SC 29526-9142 · (843) 234-6946

Phone(843) 903-4111

Fax(843) 903-4242

Sole ProprietorNo

Enumeration DateJune 30, 2008

Last NPPES UpdateApril 11, 20244 updates tracked since enumeration

NPPES CertifiedApril 11, 2024

✔ NPI 1699937862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in SC · 84825

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4022 POSTAL WAY STE C, Myrtle Beach, SC 29579

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Other Names 1

Former Name (1)Amanda Jacquelyn Doherty

Secondary Practice Locations 3

Location 15010 Carolina Forest BlvdMyrtle Beach, SC 29579-3579 · Phone (843) 236-2700 · Fax (843) 236-2726

Location 26010 Highway 707, Ste 300Myrtle Beach, SC 29588-7321 · Phone (843) 293-1005 · Fax (843) 293-1006

Location 3124 Professional Park Dr, Ste AConway, SC 29526-9260 · Phone (843) 234-8788 · Fax (843) 234-8787

Other Identifiers 2

Medicaid848257SC

MedicaidQ027544TN

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)

Amanda Jacquelyn Didolkar Md 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 Amanda Didolkar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Conway Hospital, Inc.

Same address

Family Medicine

4022 POSTAL WAY
Myrtle Beach, SC 29579

Reassigned Medicare billing, South Carolina enrollment
142 clinicians in this Medicare group

NPI 1629570387 (843) 236-0000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29579 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. PENELOPE ANNE CAMPBELL MD

Pediatrics

4022 POSTAL WAY STE C
MYRTLE BEACH, SC 29579

Horry County (843) 903-4111

STEPHEN REPLENSKI D.O.

Pediatrics

4022 POSTAL WAY STE C
MYRTLE BEACH, SC 29579

Horry County (843) 903-4111

STEPHANIE C. COBB DO

Pediatrics

4022 POSTAL WAY STE C
MYRTLE BEACH, SC 29579

Horry County (843) 903-4111

KAREN LEANNE FARRIS FNP-BC

Nurse Practitioner (Family)

4022 POSTAL WAY STE C
MYRTLE BEACH, SC 29579

Horry County (843) 903-4111

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 Amanda Didolkar's NPI number?

The NPI number for Amanda Didolkar is 1699937862. It was assigned to this individual provider in the NPPES registry on June 30, 2008. The provider is also known as Amanda Jacquelyn Doherty.

Where is Amanda Didolkar located?

Amanda Didolkar practices at 4022 Postal Way Ste C, Myrtle Beach, SC 29579. The listed phone number is (843) 903-4111.

What is Amanda Didolkar's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amanda Didolkar enrolled in Medicare?

Yes. Amanda Didolkar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Didolkar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Didolkar reassigns Medicare benefits to Conway Hospital, Inc. (Myrtle Beach, 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 Amanda Didolkar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Didolkar accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and CareSource and 2 other insurers list Amanda Didolkar 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 Amanda Didolkar was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.