Organization Active NPI

Associates in Gastroenterology PA

  • Gastroenterology Physician
  • Columbia, SC
National Provider Identifier
1871596593
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ASSOCIATES IN GASTROENTEROLOGY PA
Practice address
1070 Wildewood Ctr Dr
Columbia, SC 29229-9785
Phone
(803) 788-1100
Fax
(803) 788-4522
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Dr. Siva Kumar Chockalingam, MDNPI 1356300792
Title
Medical Doctorpresident
Phone
(803) 788-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1070 Wildewood Ctr Dr
Columbia, SC 29229-9785

Mailing address

1070 Wildewood Ctr Dr
Columbia, SC 29229-9785
Phone (803) 788-1100

Other identifiers 1

IdentifierTypeStateIssuer
176712MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041011000480 SC Part B Supplier - Clinic/Group Practice 4284694670 Receives reassigned benefits from 2 practitioners
Practice locations: Columbia, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1000041Associates in Gastroenterology1070 Wildewood Centre Drive, Columbia, SC 29229ComplianceApr 29, 2027

National Provider Directory

National Provider Directory

Locations

2043 W DeKalb St
Ste 3C
Camden, SC 29020
Phone (803) 865-2262

1072 Wildwood Centre Dr
Columbia, SC 29229
Phone (803) 788-1120

1070 Wildwood Centre Dr
Columbia, SC 29229
Phone (803) 719-5253

7320 College St
Unit 102
Irmo, SC 29063
Phone (803) 407-5920

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1871596593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 WILDEWOOD CTR DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299785",
            "telephone_number": "803-788-1100",
            "fax_number": "803-788-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 WILDEWOOD CTR DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299785",
            "telephone_number": "803-788-1100",
            "fax_number": "803-788-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN GASTROENTEROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "CHOCKALINGAM",
        "authorized_official_first_name": "SIVA",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "MEDICAL DOCTORPRESIDENT",
        "authorized_official_telephone_number": "803-788-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176712",
            "state": "SC"
        }
    ],
    "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 Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.