Active NPI
Lopa Sisodia Bhansaly, D.O.
- Family Medicine Physician
- Greer, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1402
- Practice address
- 109 Physicians Dr Ste a
Greer, SC 29650-2446 - Phone
- (864) 797-9150
- NPI assigned
- Jun 18, 2010
- Last updated
- Apr 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1402 | SC | Primary |
Addresses
Primary practice location
109 Physicians Dr Ste a
Greer, SC 29650-2446
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8617
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014022 | Medicaid | SC | |
| SC15433365 | Other | SC | MEDICARE PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2801 Woodruff Rd
Suite 101
Simpsonville, SC 29681-4807
Phone (864) 849-9170
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1402 | SC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Prisma Health University Medical Group | Family Medicine | Current | Accepting new patients |
| Spartanburg Medical Center | Family Medicine | Current | Accepting new patients |
| Greenville Health System | Current | Accepting new patients | |
| Emergencymd | Family Medicine | Current | Accepting new patients |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Emergency Physician Services | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 1363
Chicago, IL 60675
2400 Boiling Springs Rd
Ste A
Boiling Springs, SC 29316
Phone (864) 599-0731
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600
11402 Anderson Rd
Ste A
Greenville, SC 29611
Phone (864) 631-2799
200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604
2498 N Pleasantburg Dr
Ste A
Greenville, SC 29609
Phone (864) 236-4350
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
109 Physicians Dr
Ste A
Greer, SC 29650
Phone (864) 797-1050
315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550
1115 Wren School Rd
Piedmont, SC 29673
Phone (864) 859-0740
2801 Woodruff Rd
Ste 101
Simpsonville, SC 29681
Phone (864) 849-9170
719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000
101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915
807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132
Organizations & group practices 8
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.
-
dba Medical Group of the Carolinas - Emergency Medicine
- Emergency Medicine Physician
- Spartanburg, SC
- NPI 1699729939
-
dba GHS Patewood Memorial Hospital
- General Acute Care Hospital
- Greenville, SC
- NPI 1568532513
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
dba GHS Vascular Health Alliance
- General Acute Care Hospital
- Greenville, SC
- NPI 1184049041
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
dba Medical Group of the Carolinas - Family Medicine - Five Forks
- Family Medicine Physician
- Simpsonville, SC
- NPI 1558527416
-
- Radiology Clinic/Center
- Greenville, SC
- NPI 1720471618
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Hospice of South Carolina
- Community Based Hospice Care Agency
- Florence, SC
- NPI 1437160058
-
dba PMC Center for Urology Pelham
- Pain Medicine Physician
- Greer, SC
- NPI 1942960844
Hospital
-
- General Acute Care Hospital
- Greer, SC
- NPI 1982800397
-
dba Spartanburg Medical Center- Psychiatric Unit
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
-
dba Spartanburg Medical Center-Center for Rehabilitative Medicine
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1154642726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 PHYSICIANS DR STE A",
"city": "GREER",
"state": "SC",
"postal_code": "296502446",
"telephone_number": "864-797-9150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHANSALY",
"first_name": "LOPA",
"middle_name": "SISODIA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-18",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "1402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014022",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "SC15433365",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.