Mohammad Abudalou, MD
Individual provider Active NPI Gastroenterology Physician · Columbia, SC
NPI 1164084653 · NPPES record last updated Aug 15, 2025
Key facts
- NPI
- 1164084653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 93701 (SC)
- Practice address
- 3 Richland Medical Park Dr Ste 120
Columbia, SC 29203-6850 - Phone
- (803) 434-8866
- Fax
- (803) 933-3049
- NPI assigned
- Jul 3, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health Medical Group-Midlands
Practice addresses (Care Compare)
3 Richland Medical Park Dr
Suite 120
Columbia, SC 29203-6850
Phone (803) 434-8866
Hospital & facility affiliations
- Prisma Health Baptist
- Prisma Health Richland Hospital
- Prisma Health Baptist Parkridge
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 38 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 32 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250812003071 | SC | Practitioner - Gastroenterology |
9638504715 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Internal Medicine | Current |
Accepting new patients |
| Prisma Health Medical Group-Midlands | Current |
Accepting new patients |
Locations
100 Palmetto Health Pkwy
Ste 102
Columbia, SC 29212
Phone (803) 907-7600
3 Richland Medical Park Dr
Ste 120
Columbia, SC 29203
Phone (803) 434-8866
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
Interoperability endpoints
- mabudalou854813@direct.ghs.myhfn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 93701 | SC | |
| Internal Medicine Physician | 207R00000X | 280891 | MA | |
| Gastroenterology Physician | 207RG0100X | 93701 | SC | Yes |
Addresses
Primary practice location
3 Richland Medical Park Dr Ste 120
Columbia, SC 29203-6850
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Other practice location 1
736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000
Other providers in Columbia, SC
- Abs Diabetes Center
- Absolute Home Care, LLC
- Absolute Joy Home Care
- Absolute Total Care, Inc.
- Nour Abu Abdo
- Ghassan Abuhamad
- Abundance Life Healthcare LLC
- Abundant Care Case Management LLC
- Abundant Home Care Solutions LLC
- Acanesthesia
All providers in Columbia, SC · Gastroenterology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.