DR. RUKUDZO DARLINGTON MAZAIWANA M.D., OTR/L
NPI 1720413917
General Practice in Orangeburg, SC

Q: What is Rukudzo Mazaiwana's NPI number?

The NPI number for Rukudzo Mazaiwana is 1720413917. It was assigned to this individual provider in the NPPES registry on September 6, 2013.

Q: What is Rukudzo Mazaiwana's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Rukudzo Mazaiwana was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 06, 2013PECOS EnrolledAccepts Medicare Assignment

3310 MAGNOLIA ST, ORANGEBURG, SC 29115(803) 531-6900(803) 531-6907 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 26, 2022, Nov 30, 2020, Jan 30, 2019 and 2 more (5 updates tracked since 2018).

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About Dr. Rukudzo Darlington Mazaiwana M.d., Otr/l NPPES

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

DR. RUKUDZO DARLINGTON MAZAIWANA M.D., OTR/L (NPI 1720413917) is an individual general practice provider in Orangeburg, South Carolina, licensed in South Carolina (MD61309) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS and is a graduate of Mercer University School Of Medicine (2014).

NPPES Registry Identity

NPI1720413917

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. RUKUDZO DARLINGTON MAZAIWANACredential: M.D., OTR/L

Location Address3310 MAGNOLIA STOrangeburg, SC 29115-1466

Mailing Address3310 Magnolia StOrangeburg, SC 29115-1466 · (803) 531-6900 · Fax (803) 531-6907

Phone(803) 531-6900

Fax(803) 531-6907

Sole ProprietorNo

Medical School CMSMercer University School Of MedicineGraduated 2014

Enumeration DateSeptember 6, 2013

Last NPPES UpdateJuly 26, 20225 updates tracked since enumeration

NPPES CertifiedJuly 26, 2022

✔ NPI 1720413917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in SC · MD61309

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3310 MAGNOLIA ST, Orangeburg, SC 29115

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Other Identifiers 1

Medicaid613091SC

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rukudzo Darlington Mazaiwana M.d., Otr/l 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.

PECOS PAC ID2466755525

PECOS Enrollment IDI20190425001969

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.

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.

JAVERY BRIAN SANTWIRE PHARMD

Pharmacist