Individual provider Active NPI

Nikhil Babu Davuluri, MD

  • Student in an Organized Health Care Education/Training Program
  • Columbia, SC
National Provider Identifier
1487458584
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
8 Richland Medical Park Dr Ste 420
Columbia, SC 29203-8004
Phone
(803) 434-8050
NPI assigned
Apr 1, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X LL95026 SC
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

8 Richland Medical Park Dr Ste 420
Columbia, SC 29203-8004

Mailing address

8 Richland Medical Park Dr Ste 420
Columbia, SC 29203-8004

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250905003954 SC Order and Referring Only - NeurologyPractitioner - Neurology 1254833593

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL95026SCMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1487458584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 RICHLAND MEDICAL PARK DR STE 420",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 RICHLAND MEDICAL PARK DR STE 420",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038004",
            "telephone_number": "803-434-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVULURI",
        "first_name": "NIKHIL",
        "middle_name": "BABU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "LL95026",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.