Jaydeep Chakravarty Sambangi, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

LL92556 Issued in SC

Practice address

8 Richland Medical Park Dr
Columbia, SC 29203-8005

Phone

(803) 434-8050

NPI assigned

Mar 27, 2024

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1457102782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 RICHLAND MEDICAL PARK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 RICHLAND MEDICAL PARK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038005",
            "telephone_number": "803-434-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBANGI",
        "first_name": "JAYDEEP",
        "middle_name": "CHAKRAVARTY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "LL92556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Daniele Salvaggio
• Maryna Salvaggio
• Sam's Club Optical (Sam's Club Optical 30-8283)
• Sam's Club Optical (Sam's Club Optical 30-6203)
• Jacob N-B Sama, MD
• Natalie Samek, PHARMD
• Chelsey Samide
• Hubert D. Sammons, MD
• Shayleen Sammons, LM, CPM
• Matthew Zach Samonte, OTRL

• Neurology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Neurology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.