NPIMap

Individual provider Active NPI

Madhusudhan Sunkavalli, MD

  • Gastroenterology Physician
  • Greenville, SC
National Provider Identifier
1578894176
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
36937 Issued in SC
Practice address
125 Halton Rd Ste 200
Greenville, SC 29607-3507
Phone
(864) 232-7338
NPI assigned
Jan 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 36937 SC Primary

Addresses

Primary practice location

125 Halton Rd Ste 200
Greenville, SC 29607-3507

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

890 W Faris Rd Ste 100
Greenville, SC 29605-4285
Phone (864) 455-2888

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msunkavalli5727@direct.ghs.myhfn.org Direct

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
I20140826002316 SC Practitioner - GastroenterologyPractitioner - Internal Medicine 6406080514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates, PAGroup PAC ID 1951215433, 57 clinicians

Practice addresses (Care Compare)

125 Halton Rd
Suite 200
Greenville, SC 29607-3507
Phone (864) 232-7338

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy103
Upper gastrointestinal (GI) endoscopy for acid reflux181

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates, PA Gastroenterology Current Accepting new patients
Gastroenterology Associates, PA Gastroenterology CurrentSince Jan 2, 2023 Accepting new patients
Greenville Health System CurrentSince Jul 14, 2014 Accepting new patients
Gastroenterology Associates, PA Gastroenterology CurrentSince Jan 2, 2023 Accepting new patients

Locations

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

125 Halton Rd
Ste 200
Greenville, SC 29607

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

3424 Augusta Rd
Ste 200
Greenville, SC 29605

317 Saint Francis Dr
Ste 170
Greenville, SC 29601
Phone (864) 255-1886

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

112A Hospital Dr
Simpsonville, SC 29681

Organizations & group practices 4

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.

Hospital & facility affiliations 54

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1578894176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HALTON RD STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073507",
            "telephone_number": "864-232-7338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 W Faris Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054285",
            "country_code": "US",
            "telephone_number": "864-455-2888",
            "fax_number": "864-455-2885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNKAVALLI",
        "first_name": "MADHUSUDHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-20",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "36937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msunkavalli5727@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "msunkavalli5727@direct.ghs.myhfn.org",
            "address_1": "890 W Faris Rd Ste 100",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.