Dheeraj Puppala, M.D.
Individual provider Active NPI Hospitalist Physician · West Columbia, SC
NPI 1396090551 · NPPES record last updated Oct 14, 2025
Key facts
- NPI
- 1396090551
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 51544 (SC)
- Practice address
- 2720 Sunset Blvd
West Columbia, SC 29169-4810 - Phone
- (803) 936-7372
- Fax
- (803) 936-4102
- NPI assigned
- Jul 13, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lexington Health Inc
Practice addresses (Care Compare)
2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2350
Hospital & facility affiliations
- Interim Healthcare of the Upstate
- Amedisys Home Health of Lexington
- Compassionate Care Hospice of South Carolina, LLC
- Amedisys Hospice of South Carolina
- Medical Services of America Hospice-Columbia
- Lexington Medical Center
- Newberry County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.09 of 100
- Quality
- 68.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
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 |
|---|---|---|---|---|
| I20171031003158 | SC | Practitioner - Internal Medicine | 4082926860 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125062174 | IL | MD | Internal Medicine Physician |
| 51544 | SC | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington County Health Services District Inc | Current | Accepting new patients | |
| Vibra Physicians LLC | Hospitalist | Current |
Accepting new patients |
| Lexington Health Inc | Internal Medicine | Current |
Accepting new patients |
| Lexington Health Inc | Internal Medicine | Current |
Accepting new patients |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington Health Inc | Past | Accepting new patients |
Locations
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
1200 Hospital Dr
Mt Pleasant, SC 29464
Phone (843) 226-7721
2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480
Interoperability endpoints
- dpuppala87061@direct.lexmed.com
- dpuppala152017@aurora.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125062174 | IL | |
| Internal Medicine Physician | 207R00000X | 51544 | SC | |
| Hospitalist Physician | 208M00000X | 51544 | SC | Yes |
Addresses
Primary practice location
2720 Sunset Blvd
West Columbia, SC 29169-4810
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 936-7372
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515446 | Medicaid | SC |
NPI Registry JSON
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1396090551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6069",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291716069",
"telephone_number": "803-936-7372",
"fax_number": "803-936-4102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 SUNSET BLVD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694810",
"telephone_number": "803-936-7372",
"fax_number": "803-936-4102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUPPALA",
"first_name": "DHEERAJ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-13",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125062174",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "51544",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "SC",
"license": "51544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "515446",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Columbia, SC
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- Providence Cardiology LLC
- Robin Pruette
- Pruitthealth Therapy Services, Inc.
- Psych M.D. Associates LLC
- Kalpana Kumar Puri
- Anil Purohit
- Frank Olin Pusey Jr.
- Darcia M Putnam
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All providers in West Columbia, SC · Hospitalist 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 Oct 14, 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.