Individual provider Active NPI

Chad B Gunnlaugsson, M.D.

  • Otolaryngology Physician
  • Columbia, SC
National Provider Identifier
1194755314
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
28760 Issued in SC
Practice address
1040 Pinnacle Point Dr
Columbia, SC 29223-5735
Phone
(803) 509-7200
Fax
(803) 509-7213
NPI assigned
Jul 4, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 28760 SC Primary

Addresses

Primary practice location

1040 Pinnacle Point Dr
Columbia, SC 29223-5735

Mailing address

1040 Pinnacle Point Dr
Columbia, SC 29223-5735
Phone (803) 509-7200

Other identifiers 1

IdentifierTypeStateIssuer
287601MedicaidSC

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
I20060727000351 SC Practitioner - OtolaryngologyPractitioner - Sleep Medicine 2567449010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Sleep Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1040 Pinnacle Point Dr
Columbia, SC 29223-5735
Phone (803) 509-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28760SCMDHealth Educator

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Ear Nose Throat Allergy and Sleep Disorders Institute CurrentSince Jun 1, 2010 Accepting new patients
Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.a. Otolaryngology PastSince Oct 1, 1998 Accepting new patients

Locations

1040 Pinnacle Point Dr
Columbia, SC 29223
Phone (803) 319-4401

114 Gateway Corporate Blvd
Ste 120
Columbia, SC 29203
Phone (803) 438-3800

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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 4

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1194755314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 PINNACLE POINT DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235735",
            "telephone_number": "803-509-7200",
            "fax_number": "803-509-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 PINNACLE POINT DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235735",
            "telephone_number": "803-509-7200",
            "fax_number": "803-509-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNLAUGSSON",
        "first_name": "CHAD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-03-07",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "28760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287601",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.