NPIMap

Individual provider Active NPI

Siva Kumar Chockalingam, MD

  • Gastroenterology Physician
  • Columbia, SC
National Provider Identifier
1356300792
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
71671 Issued in SC
Practice address
1070 Wildewood Ctr Dr
Columbia, SC 29229-9740
Phone
(803) 788-1100
Fax
(803) 788-4522
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 71671 SC Primary

Addresses

Primary practice location

1070 Wildewood Ctr Dr
Columbia, SC 29229-9740

Mailing address

1070 Wildewood Ctr Dr
Columbia, SC 29229-9740
Phone (803) 788-1100

Other identifiers 1

IdentifierTypeStateIssuer
176712MedicaidSC

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
I20101011000814 SC Practitioner - GastroenterologyPractitioner - Internal Medicine 2264463363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Gastroenterology PAGroup PAC ID 4284694670, 2 clinicians

Practice addresses (Care Compare)

1070 Wildewood Centre Dr
Columbia, SC 29229-8420
Phone (803) 788-1100

Hospital & facility affiliations

  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073
  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Kershawhealth Hospital, Camden, SC, CCN 420048
  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086
  • Musc Health Columbia Medical Center Downtown Hospital, Columbia, SC, CCN 420026

Merit-based Incentive Payment System (MIPS)

Final score
86.92 of 100Reported as individual
Quality
90.39
Promoting interoperability
99
Improvement activities
20

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy273
Upper gastrointestinal (GI) endoscopy for acid reflux149

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Gastroenterology PA Gastroenterology CurrentSince Apr 1, 2002 Accepting new patients

Locations

1070 Wildwood Centre Dr
Columbia, SC 29229
Phone (803) 719-5253

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCEFBA/Endpoint/DCEFBA

Organizations & group practices 1

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

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1356300792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 WILDEWOOD CTR DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299740",
            "telephone_number": "803-788-1100",
            "fax_number": "803-788-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 WILDEWOOD CTR DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299740",
            "telephone_number": "803-788-1100",
            "fax_number": "803-788-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOCKALINGAM",
        "first_name": "SIVA",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "71671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176712",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.