Active NPI
Manoj Rahul Pallapothu, MD
- Neurology Physician
- Columbia, SC
National Provider Identifier
1669361713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- LL95331
- Practice address
- 2 Medical Park Rd Ste 230
Columbia, SC 29203-6839 - Phone
- (803) 434-1895
- NPI assigned
- Jul 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | LL95331 | SC | Primary |
Addresses
Primary practice location
2 Medical Park Rd Ste 230
Columbia, SC 29203-6839
Mailing address
8 Medical Park Dr
Ste 420
Columbia, SC 29203-6839
Phone (803) 434-8050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL95331 | SC | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1669361713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 MEDICAL PARK DR",
"address_2": "STE 420",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036839",
"telephone_number": "803-434-8050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICAL PARK RD STE 230",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036839",
"telephone_number": "803-434-1895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLAPOTHU",
"first_name": "MANOJ",
"middle_name": "RAHUL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-02",
"last_updated": "2025-08-28",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": "LL95331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.