SOPHIA STEPHANIE URBAN MD
NPI 1790278703
Internal Medicine in Charleston, SC
About Sophia Stephanie Urban Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHIA STEPHANIE URBAN MD (NPI 1790278703) is an individual internal medicine provider in Charleston, South Carolina, licensed in South Carolina (LL52653) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Eastern Virginia Medical School (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sophia Stephanie Urban Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Sophia Urban reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charleston, SC 29425
- Reassigned Medicare billing, South Carolina enrollment
- Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
- 2,594 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Musc Medical Center
Acute Care Hospitals · Charleston, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLESTON, SC 29425
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 Sophia Urban's NPI number?
The NPI number for Sophia Urban is 1790278703. It was assigned to this individual provider in the NPPES registry on June 13, 2018.
Where is Sophia Urban located?
Sophia Urban practices at 165 Ashley Ave # Msc917, Charleston, SC 29425. The listed phone number is (843) 792-0435.
What is Sophia Urban's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sophia Urban enrolled in Medicare?
Yes. Sophia Urban is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Sophia Urban's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Urban reassigns Medicare benefits to University Medical Associates (Charleston, 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 Sophia Urban's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sophia Urban accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Sophia Urban 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.
Is Sophia Urban affiliated with any hospitals?
According to CMS data, Sophia Urban is affiliated with Musc Medical Center.
When was this NPI record last updated?
The NPPES record for Sophia Urban was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Sophia Stephanie Urban, MD · NPI 1790278703
Internal Medicine physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since June 13, 2018.
## Identity
- **NPI:** 1790278703 (Entity type: Individual)
- **Enumerated:** June 13, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** LL52653 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 165 ASHLEY AVE # MSC917, Charleston, SC 29425-8905
- **Phone:** (843) 792-0435
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Medical Associates (NPI 1548413453, Charleston, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Eastern Virginia Medical School, class of 2018
## Record status
- **NPPES last updated:** June 13, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1790278703) · Data from the CMS NPPES public registry.