Individual provider Active NPI

Guhapriya Palaniswamy, MD

  • Pulmonary Disease Physician
  • Charlotte, NC
National Provider Identifier
1740314053
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA08045300 Issued in NJ
Practice address
3506 W Tyvola Road
South Charlotte VA Clinic (Med Specialty Clinic-4TH FL)
Charlotte, NC 28208
Phone
(704) 329-1300
Fax
(704) 357-7534
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08045300 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA08045300 NJ
Sleep Medicine (Internal Medicine) Physician 207RS0012X 25MA08045300 NJ
Pulmonary Disease Physician 207RP1001X 25MA08045300 NJ Primary

Addresses

Primary practice location

3506 W Tyvola Road
South Charlotte VA Clinic (Med Specialty Clinic-4TH FL)
Charlotte, NC 28208

Mailing address

3506 W Tyvola Rd
South Charlotte VA Clinic (Med Specialty Clinic-4TH FL)
Charlotte, NC 28208
Phone (704) 329-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20170131002198 SD Practitioner - Internal Medicine 0547316168 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08045300NJMDSleep Medicine (Internal Medicine) Physician
1644SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital, Inc Sleep Medicine Current Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Jan 16, 2017 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jan 16, 2017 Accepting new patients

Locations

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1740314053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 W TYVOLA RD",
            "address_2": "SOUTH CHARLOTTE VA CLINIC (MED SPECIALTY CLINIC-4TH FL)",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28208",
            "telephone_number": "704-329-1300",
            "fax_number": "704-357-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 W TYVOLA ROAD",
            "address_2": "SOUTH CHARLOTTE VA CLINIC (MED SPECIALTY CLINIC-4TH FL)",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28208",
            "telephone_number": "704-329-1300",
            "fax_number": "704-357-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALANISWAMY",
        "first_name": "GUHAPRIYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08045300",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA08045300",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "25MA08045300",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA08045300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.