NPIMap

Individual provider Active NPI

Giridhar Gundu, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Clinton, SC
National Provider Identifier
1437380805
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
R2837 Issued in KY
Practice address
22971 Highway 76 E
Clinton, SC 29325-7529
Phone
(864) 833-3046
Fax
(864) 833-3046
NPI assigned
Aug 4, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X R2837 KY Primary

Addresses

Primary practice location

22971 Highway 76 E
Clinton, SC 29325-7529

Mailing address

8 Rolleston Dr
Greenville, SC 29615-6736
Phone (864) 283-2245

Other practice location 1

2605 Kinard St Ste 105
Newberry, SC 29108-2965
Phone (803) 321-6254

Other practice location 2

University Of Kentucky
Lexington, KY 40506-0001
Phone (859) 257-9000

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
I20140630001057 SC Practitioner - Physical Medicine and Rehabilitation 6406083112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Bone and JointGroup PAC ID 4385545565, 12 clinicians

Practice addresses (Care Compare)

22971 Hwy 76 E
Clinton, SC 29325
Phone (864) 833-3046

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2837KYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Bone and Joint Physical Medicine & Rehabilitation CurrentSince Aug 11, 2014 Accepting new patients
Paradigm Health System Past Accepting new patients
Newberry County Memorial Hospital Past Accepting new patients

Locations

104 Ellett Rd
Chapin, SC 29036
Phone (803) 567-8970

22971 Highway 76 E
Clinton, SC 29325
Phone (803) 833-3046

2605 Kinard St
Ste 105
Newberry, SC 29108
Phone (803) 321-6254

2704 Kinard St
Newberry, SC 29108
Phone (803) 321-6254

Organizations & group practices 3

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 8

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": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437380805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ROLLESTON DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156736",
            "telephone_number": "864-283-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22971 HIGHWAY 76 E",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257529",
            "telephone_number": "864-833-3046",
            "fax_number": "864-833-3046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2605 Kinard St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "SC",
            "postal_code": "291082965",
            "country_code": "US",
            "telephone_number": "803-321-6254",
            "fax_number": "803-321-6259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "University Of Kentucky",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405060001",
            "country_code": "US",
            "telephone_number": "859-257-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNDU",
        "first_name": "GIRIDHAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "R2837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

Verify at the official NPI Registry.