Preeth A Menon, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22762 Issued in SC

Practice address

Charleston Pain &Rehabilitation Center
1124 Sam Rittenberg Blvd Ste 1
Charleston, SC 29407-3362

Phone

(843) 556-3462

NPI assigned

Apr 17, 2006

Last updated

Jun 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC, MP2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonwealth Healthcare CorporationGroup PAC ID 7719075167, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• MHS Home Care Home health agency, Saipan, MP, CCN 667001
• Commonwealth Health Center Hospital, Garapan, MP, CCN 660001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JEHGBD

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.

• Commonwealth Healthcare Corporation

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saipan, MP
  • NPI 1285858290
  Medicare reassignment Care Compare group NPD
• Altea Medical South Carolina LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Ridgeland, SC
  • NPI 1538987672
  Medicare reassignment NPD
• Midlands Neurology & Pain Assoc, P.a

  • Interventional Pain Medicine Physician
  • Columbia, SC
  • NPI 1629084132
  Medicare reassignment NPD
• Regenesis Organization Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Spartanburg, SC
  • NPI 1194710426
  Medicare reassignment NPD
• Regenesis Organization Community Health Center

  dba ReGenesis Health Care

  • Federally Qualified Health Center (FQHC)
  • Spartanburg, SC
  • NPI 1457745952
  Medicare reassignment NPD
• Regenesis Organization Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Union, SC
  • NPI 1982248852
  Medicare reassignment NPD
• W M Woodward, MD, PA

  dba Charleston Pain & Rehabilitation Center

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1063454775
  Medicare reassignment NPD
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  SC

  Medicare reassignment NPD
• Regenesis Organization Community Health Center

  dba Woodruff Medical Center

  • Federally Qualified Health Center (FQHC)
  • Woodruff, SC
  • NPI 1265777908
  NPD
• Regenesis Organization Community Health Center

  dba Regenesis Health Center- Northside

  • Federally Qualified Health Center (FQHC)
  • Spartanburg, SC
  • NPI 1558946376
  NPD
• Commonwealth Healthcare Corporation

  • General Acute Care Hospital
  • Saipan, MP
  • NPI 1871616292
  NPD
• Marion Physician Services LLC

  • Family Medicine Physician
  • Mullins, SC
  • NPI 1588985857

  Internal Medicine

  NPD (past)

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

• Commonwealth Healthcare Corporation

  • General Acute Care Hospital
  • Saipan, MP
  • NPI 1871616292
  Care Compare affiliation
• Marianas Health Services Inc

  dba MHS Home Care

  • Home Health Agency
  • Saipan, MP
  • NPI 1427136464
  Care Compare affiliation

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1598729386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10105 FALLON FARM RD APT 302",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787527",
            "telephone_number": "704-578-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHARLESTON PAIN &REHABILITATION CENTER",
            "address_2": "1124 SAM RITTENBERG BLVD STE 1",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073362",
            "telephone_number": "843-556-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "PREETH",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "22762",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "SC",
            "license": "22762",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227622",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Menick, FNP
• Lacey Paige Menkinsmith, M.D.
• Sarah Harper Mennito, M.D.
• Mohamed Menofy, MD
• Aravind Ajakumar Menon, M.D
• Mental Health Therapy Center - Charleston, LLC (LiveOak Mental Health Therapy Center)
• Chloe Mento, LISW, CP
• Patricia Menzel, MS CCC SLP
• Amelia Mercer
• James Preston Mercer, MD

• Internal Medicine Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.