Individual provider Active NPI

Mahesh Srisailappa Gopasetty, MBBS, MS, MRCS

  • Transplant Surgery Physician
  • Charleston, SC
National Provider Identifier
1972793420
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
SCLL29704 Issued in SC
Practice address
96 Jonathan Lucas St
CSB 404
Charleston, SC 29425-8900
Phone
(843) 792-3368
NPI assigned
Jul 31, 2007
Last updated
Jul 31, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X SCLL29704 SC Primary

Addresses

Primary practice location

96 Jonathan Lucas St
CSB 404
Charleston, SC 29425-8900

Mailing address

45 Sycamore Ave
Apt 523
Charleston, SC 29407-6710
Phone (843) 792-3368

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
Master of Science

State licenses

LicenseStateTypeSpecialty
SCLL29704SCMDTransplant Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1972793420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SYCAMORE AVE",
            "address_2": "APT 523",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076710",
            "telephone_number": "843-792-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 JONATHAN LUCAS ST",
            "address_2": "CSB 404",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258900",
            "telephone_number": "843-792-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPASETTY",
        "first_name": "MAHESH",
        "middle_name": "SRISAILAPPA",
        "name_prefix": "Dr.",
        "credential": "MBBS, MS, MRCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "SC",
            "license": "SCLL29704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.