Individual provider Active NPI

Rushiraj Chaitanya Laiwala, M.D.

  • Geriatric Psychiatry Physician
  • Columbia, SC
National Provider Identifier
1497985303
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
38447 Issued in SC
Practice address
2200 Harden St
Columbia, SC 29203
Phone
(803) 737-5300
NPI assigned
Jul 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 50045 TN
Geriatric Psychiatry Physician 2084P0805X 38447 SC Primary

Addresses

Primary practice location

2200 Harden St
Columbia, SC 29203

Mailing address

101 Playground Rd
Blythewood, SC 29016-7658
Phone (423) 653-3043

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
I20160721002303 SC Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 6002063757 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Carolina Dept of Mental Health Accounting OfficeGroup PAC ID 9032021175, shared by 11 NPIs, 226 clinicians

Practice addresses (Care Compare)

220 Faison Dr
Columbia, SC 29203-3210
Phone (803) 898-8415

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38447SCMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Dec 1, 2020 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Aug 17, 2016 Accepting new patients
Prisma Health University Medical Group CurrentSince Jun 27, 2016 Accepting new patients
Prisma Health University Medical Group CurrentSince Jun 27, 2016 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Aug 17, 2016 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Dec 1, 2020 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Aug 17, 2016 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients

Locations

2414 Bull St
#3183
Columbia, SC 29201

220 Faison Dr
Columbia, SC 29203
Phone (803) 898-1662

2200 Harden St
Columbia, SC 29203
Phone (803) 737-5300

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

1409 W Georgia Rd
Ste B
Simpsonville, SC 29680
Phone (864) 454-5000

Interoperability endpoints

  • Direct secure messaging: rlaiwala20419@directmcleodehealth.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1497985303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PLAYGROUND RD",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167658",
            "telephone_number": "423-653-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HARDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-737-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIWALA",
        "first_name": "RUSHIRAJ",
        "middle_name": "CHAITANYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TN",
            "license": "50045",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "SC",
            "license": "38447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.