Individual provider Active NPI

Aditya Nadimpalli, MD

  • Internal Medicine Physician
  • Columbia, SC
National Provider Identifier
1629164876
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38965 Issued in SC
Practice address
2 Medical Park Road Suite 501
Usc-Dept. of Internal Medicine
Columbia, SC 29203-6876
Phone
(803) 540-1000
Fax
(803) 540-1075
NPI assigned
Oct 5, 2006
Last updated
Mar 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 025803 LA
Internal Medicine Physician 207R00000X 38965 SC Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 025803 LA

Addresses

Primary practice location

2 Medical Park Road Suite 501
Usc-Dept. of Internal Medicine
Columbia, SC 29203-6876

Mailing address

PO Box 648
Usc Dept. of Internal Medicine
Columbia, SC 29202-0648
Phone (803) 540-1000

Other identifiers 1

IdentifierTypeStateIssuer
389653MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241126000558 TX Practitioner - Internal Medicine 0244333086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Intensivists, PLLCGroup PAC ID 2264896364, 39 clinicians

Practice addresses (Care Compare)

2830 Calder St
FL 4
Beaumont, TX 77702-1809
Phone (409) 899-7680

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025803LAMDPharmacist
38965SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Intensivists, PLLC CurrentSince Oct 20, 2024 Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
East Jefferson Physicians Group LLC Internal Medicine Past Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

2830 Calder St
Fl 4
Beaumont, TX 77702
Phone (409) 899-5156

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

Interoperability endpoints

  • Direct secure messaging: anadimpalli428702@christushealth.direct-ci.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1629164876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 648",
            "address_2": "USC DEPT. OF INTERNAL MEDICINE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292020648",
            "telephone_number": "803-540-1000",
            "fax_number": "803-540-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK ROAD SUITE 501",
            "address_2": "USC-DEPT. OF INTERNAL MEDICINE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036876",
            "telephone_number": "803-540-1000",
            "fax_number": "803-540-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADIMPALLI",
        "first_name": "ADITYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "025803",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "38965",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "LA",
            "license": "025803",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389653",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.