Individual provider Active NPI

Gokul Gondi, MD

  • Anesthesiology Physician
  • Columbia, SC
National Provider Identifier
1831289123
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
23834 Issued in SC
Practice address
1655 Bernardin Ave
Suite 350
Columbia, SC 29204-2039
Phone
(803) 865-4780
Fax
(803) 865-4932
NPI assigned
Oct 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 23834 SC
Pain Medicine (Anesthesiology) Physician 207LP2900X 23834 SC
Anesthesiology Physician 207L00000X 23834 SC Primary

Addresses

Primary practice location

1655 Bernardin Ave
Suite 350
Columbia, SC 29204-2039

Mailing address

1655 Bernardin Ave
Suite 350
Columbia, SC 29204-2039
Phone (803) 865-4780

Other practice location 1

7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Other identifiers 4

IdentifierTypeStateIssuer
182689OtherSCAETNA
182689OtherSCMEDCOST
238344MedicaidSC
238344OtherSCSELECT HEALTH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20031226000103 SC Practitioner - Anesthesiology 5698673804 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of South Carolina School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beach Anesthesia, LLCGroup PAC ID 6103924014, 91 clinicians

Practice addresses (Care Compare)

109 Blarney Dr
Columbia, SC 29223-6244
Phone (803) 865-8200

7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
84.33 of 100Reported as group
Quality
75.48
Promoting interoperability
100
Improvement activities
40
Cost
72.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23834SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Jul 26, 2017 Accepting new patients
Prisma Health University Medical Group Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Prisma Health University Medical Group CurrentSince Sep 1, 2022 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Atlantic Coast Anesthesia Services P.C. Anesthesiology CurrentSince Jun 12, 2017 Accepting new patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients
Musc Community Physicians Current Accepting new patients
Beach Anesthesia, LLC Anesthesiology CurrentSince Jan 1, 2021 Accepting new patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients
Pain Management, LLC Past Accepting new patients
Palmetto Anesthesia Associates Anesthesiology PastSince Jun 28, 2020 Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

2001 Laurel St
Ste 300
Columbia, SC 29204
Phone (803) 254-2786

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700

104 Saluda Pointe Dr
Lexington, SC 29072
Phone (803) 296-9200

1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Interoperability endpoints

  • Direct secure messaging: ggondi438475@direct.ghs.myhfn.org

Organizations & group practices 11

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.

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": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1831289123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 BERNARDIN AVE",
            "address_2": "SUITE 350",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042039",
            "telephone_number": "803-865-4780",
            "fax_number": "803-865-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 BERNARDIN AVE",
            "address_2": "SUITE 350",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042039",
            "telephone_number": "803-865-4780",
            "fax_number": "803-865-4932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Independence Pt Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154569",
            "country_code": "US",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONDI",
        "first_name": "GOKUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "SC",
            "license": "23834",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "23834",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "23834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "182689",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "182689",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238344",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "238344",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.