Robert Puchalski, M.D.

Primary specialty

Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X

License

23048 Issued in SC

Practice address

15 Exchange Dr
Lugoff, SC 29078-9198

Phone

(803) 408-3277

Fax

(803) 408-3299

NPI assigned

Jul 12, 2006

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 2

Electronic endpoints 1

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

Specialty

OtolaryngologyAlso: Sleep Medicine

Education

University of Washington School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Carolina ENT Allergy and Sleep Medicine PAGroup PAC ID 0840214748, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scent@allmedsdirectmail.com

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.

• Scent ASC Opportunity Fund LLC

  dba SCENT Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Columbia, SC
  • NPI 1437736071
  Medicare reassignment NPD Authorized official
• South Carolina ENT Allergy & Sleep Medicine PA

  • Otolaryngology Physician
  • Lugoff, SC
  • NPI 1134153083
  Medicare reassignment Care Compare group NPD
• Advanced ENT and Allergy PLLC

  • Otolaryngology Physician
  • Louisville, KY
  • NPI 1780817502
  NPD (past)

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

• Prisma Health Midlands

  dba Prisma Health Senior Primary Care

  • Geriatric Medicine (Internal Medicine) Physician
  • Columbia, SC
  • NPI 1962471946

  Hospital

  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Cancer Inst-Richland

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1033889795
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Pediatric Hematology/Oncology

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1154197846
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Richland Hosptial

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1154373843
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Richland Lab Outreach

  • General Acute Care Hospital
  • Coulmbia, SC
  • NPI 1154432458
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Cancer Inst-Richland

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1396524104
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Outpatient Pediatric Pulmonology

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1508554452
  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1740215904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290780520",
            "telephone_number": "803-408-3277",
            "fax_number": "803-408-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EXCHANGE DR",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290789198",
            "telephone_number": "803-408-3277",
            "fax_number": "803-408-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCHALSKI",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "23048",
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "SC",
            "license": "23048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230486",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNSPECIFIED",
            "identifier": "DE5192",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SCENT@allmedsdirectmail.com",
            "affiliation": "N",
            "address_1": "15 Exchange Dr",
            "city": "Lugoff",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290789198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Todd Payne, RRT
• Cassidy Borowski Phillips, APRN
• Cathy Porter, APRN
• Kathleen Frances Powell, PH.D., LPC, LPCS
• Tiaera Paulette Pritchett, LMSW
• Quality Sleep Solutions Lugoff LLC
• Glenda Lois Quick, MSW, LMSW, AADC
• Gayla R Ramey, APRN
• Katelyn Ramold
• Rachel Bane Raper, ASHA CERTIFIED

• Otolaryngology Physician in Lugoff, SC
• Providers in Lugoff, SC by specialty
• Otolaryngology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.