Individual provider Active NPI

Olumide Michael Mughelli, MD

  • Specialist
  • Charleston, SC
National Provider Identifier
1154378214
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14683 Issued in SC
Practice address
1843 Ashley River Rd
Charleston, SC 29407-4740
Phone
(843) 769-4424
Fax
(843) 769-4425
NPI assigned
May 27, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14683 SC Primary

Addresses

Primary practice location

1843 Ashley River Rd
Charleston, SC 29407-4740

Mailing address

1843 Ashley River Rd
Charleston, SC 29407-4740
Phone (843) 769-4424

Other identifiers 1

IdentifierTypeStateIssuer
146835MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050601000082 SC Practitioner - Obstetrics/Gynecology 9537101696 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tufts University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fetter Health Care Network IncGroup PAC ID 9032215199, shared by 15 NPIs, 26 clinicians

Practice addresses (Care Compare)

51 Nassau St
Charleston, SC 29403-5513
Phone (843) 722-4112

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fetter Health Care Network, Inc. Current Accepting new patients
Fetter Health Care Network, Inc CurrentSince Jul 16, 2023 Accepting new patients
Fetter Health Care Network Inc CurrentSince Jul 16, 2023 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Jul 16, 2023 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Jul 16, 2023 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Jul 16, 2023 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Jun 2, 2025 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Jul 16, 2023 Accepting new patients
Trident Medical Center, LLC Past Accepting new patients

Locations

1843 Ashley River Rd
Charleston, SC 29407
Phone (843) 769-4424

35 Walnut St
Charleston, SC 29403
Phone (843) 723-9477

51 Nassau St
Charleston, SC 29403

106 W Main St
Moncks Corner, SC 29461
Phone (843) 761-1995

130 Varnfield Dr
Ste 100
Summerville, SC 29483
Phone (843) 821-3444

679 Orangeburg Rd
Unit F
Summerville, SC 29483
Phone (843) 261-2600

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154378214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 ASHLEY RIVER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074740",
            "telephone_number": "843-769-4424",
            "fax_number": "843-769-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 ASHLEY RIVER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074740",
            "telephone_number": "843-769-4424",
            "fax_number": "843-769-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGHELLI",
        "first_name": "OLUMIDE",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "14683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146835",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.