NPIMap

Individual provider Active NPI

Prabal K. Guha, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Florence, SC
National Provider Identifier
1043277304
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
23724 Issued in SC
Practice address
101 William H. Johnson Street
Suite 600
Florence, SC 29506-2716
Phone
(843) 667-1891
Fax
(843) 665-2516
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 23724 SC
Clinical Cardiac Electrophysiology Physician 207RC0001X 23724 SC Primary

Addresses

Primary practice location

101 William H. Johnson Street
Suite 600
Florence, SC 29506-2716

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 667-1891

Other identifiers 1

IdentifierTypeStateIssuer
237247MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address prabal.guha@mpaii.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031218000453 SC Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 8224935069 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

540 Physicians LN
Sumter, SC 29150-3370
Phone (803) 883-5171

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000

800 E Cheves St
Florence, SC 29506-2650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Oct 1, 2012 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jun 1, 2022 Accepting new patients
McLeod Health Cheraw CurrentSince Jun 1, 2022 Accepting new patients
McLeod Medical Center-Dillon CurrentSince Jun 1, 2022 Accepting new patients
McLeod Health Cheraw CurrentSince Jun 1, 2022 Accepting new patients
McLeod Medical Center-Dillon CurrentSince Jun 1, 2022 Accepting new patients
McLeod Physician Associates II CurrentSince Oct 1, 2012 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jun 1, 2022 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc. Past Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Cardiovascular Disease Past Accepting new patients

Locations

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

101 William H Johnson St
Ste 600
Florence, SC 29506
Phone (843) 667-1891

506 E Cheves St
#202
Florence, SC 29506

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

3980 Highway 9 E
Ste 360
Little River, SC 29566
Phone (843) 667-1891

Interoperability endpoints

  • Direct secure messaging: pguha40208@directmcleodehealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1043277304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-667-1891",
            "fax_number": "843-665-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILLIAM H. JOHNSON STREET",
            "address_2": "SUITE 600",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062716",
            "telephone_number": "843-667-1891",
            "fax_number": "843-665-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUHA",
        "first_name": "PRABAL",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "23724",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "SC",
            "license": "23724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237247",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prabal.guha@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "101 William H. Johnson Street",
            "address_2": "Suite 600",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295062716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.