Active NPI
Suneetha Morthala, M.D.
- Rheumatology Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 28893
- Practice address
- 2233 Clemson Rd
Columbia, SC 29229-8016 - Phone
- (803) 462-2824
- Fax
- (803) 386-0283
- NPI assigned
- Jul 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 28893 | SC | |
| Rheumatology Physician | 207RR0500X | 28893 | SC | Primary |
Addresses
Primary practice location
2233 Clemson Rd
Columbia, SC 29229-8016
Mailing address
4611 Hard Scrabble Rd
Suite 359
Columbia, SC 29229-8584
Phone (803) 462-2824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288931 | Medicaid | SC |
Other names 1
- Dr. Suneetha Kolli
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
- Rheumatology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2233 Clemson Rd
Columbia, SC 29229-8016
Phone (803) 462-2824
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandhills Rheumatology, LLC | Rheumatology | Current | Accepting new patients |
| Lexington County Health Services District, Inc. | Past | Accepting new patients |
Locations
4611 Hard Scrabble Rd
Ste 359
Columbia, SC 29229
2233 Clemson Rd
Columbia, SC 29229
Phone (803) 462-2824
Interoperability endpoints
- suneetha.morthala@direct.sand.nextgenshare.com
- 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 and National Provider Directory roles.
-
- Rheumatology Physician
- Columbia, SC
- NPI 1649526997
-
- Radiology Clinic/Center
- Columbia, SC
- NPI 1811922164
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1407880941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 HARD SCRABBLE RD",
"address_2": "SUITE 359",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292298584",
"telephone_number": "803-462-2824",
"fax_number": "803-386-0283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 CLEMSON RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292298016",
"telephone_number": "803-462-2824",
"fax_number": "803-386-0283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTHALA",
"first_name": "SUNEETHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "28893",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "SC",
"license": "28893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "288931",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUNEETHA",
"last_name": "KOLLI",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.