Dr Sunita Paudyal, MD - Medicare Rheumatology in Columbia, SC

Dr Sunita Paudyal, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Columbia, South Carolina. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Rheumatology. She is a member of the group practice Prisma Health Medical Group-midlands and her current practice location is 2 Medical Park Road, Suite 501, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 540-1000.

Dr Sunita Paudyal is licensed to practice in South Carolina (license number 39206) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225230949.

Contact Information

Dr Sunita Paudyal, MD
2 Medical Park Road, Suite 501,
Columbia, SC 29203-6839
(803) 540-1000
(803) 540-1075

Map and Direction




Physician's Profile

Full NameDr Sunita Paudyal
GenderFemale
SpecialityRheumatology
Experience19 Years
Location2 Medical Park Road, Columbia, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sunita Paudyal graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1225230949
  • Provider Enumeration Date: 06/04/2007
  • Last Update Date: 04/05/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0941355606
  • Enrollment ID: I20160728001019

Medical Identifiers

Medical identifiers for Dr Sunita Paudyal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225230949NPI-NPPES
39206OtherSCLICENSE
MD126236OtherOROR MEDICAL BOARD
392060MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 39206 (South Carolina)Secondary
207R00000XInternal Medicine MD126236 (Oregon)Secondary
207RR0500XInternal Medicine - Rheumatology 39206 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prisma Health Richland HospitalColumbia, SCHospital
Prisma Health Baptist ParkridgeColumbia, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prisma Health Medical Group-midlands5991099707865

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sunita Paudyal allows following entities to bill medicare on her behalf.
Entity NamePrisma Health Medical Group-midlands
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275988321
PECOS PAC ID: 5991099707
Enrollment ID: O20160802001226

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sunita Paudyal is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sunita Paudyal, MD
Po Box 743904,
Atlanta, GA 30374-3904

Ph: (803) 296-7320
Dr Sunita Paudyal, MD
2 Medical Park Road, Suite 501,
Columbia, SC 29203-6839

Ph: (803) 540-1000

Reviews and Comments


Internal Medicine Doctors in Columbia, SC

William Cole Andrew, D.O.
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Michael Martin,
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Dr. Terry A Grainger, MD
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Dr. Adelero Olayinka Adebajo, M.D.
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Jeff Z Brooker Jr., MD, RETIRED
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Dr. Ronald L Collins, MD
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Practice Location: 1711 Saint Julian Pl, Columbia, SC 29204
Phone: 803-779-0911    Fax: 803-256-2480

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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