GOPALBHAI KANIJIBHAI VAGHELA MD
NPI 1013221589
Hospitalist in Sumter, SC
About Gopalbhai Kanijibhai Vaghela Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOPALBHAI KANIJIBHAI VAGHELA MD (NPI 1013221589) is an individual hospitalist provider in Sumter, South Carolina, licensed in South Carolina (33084) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Bennettsville.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gopalbhai Kanijibhai Vaghela Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Gopalbhai Vaghela reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sumter, SC 29150
- Reassigned Medicare billing, South Carolina enrollment
- Medicare enrollment name: Prisma Health Medical Group-Midlands
- 1,466 clinicians in this Medicare group
Florence, SC 29506
- Reassigned Medicare billing, South Carolina enrollment
- 816 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prisma Health Richland Hospital
Acute Care Hospitals · Columbia, SCPrisma Health Tuomey Hospital
Acute Care Hospitals · Sumter, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SUMTER, SC 29150
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gopalbhai Vaghela's NPI number?
The NPI number for Gopalbhai Vaghela is 1013221589. It was assigned to this individual provider in the NPPES registry on July 27, 2010.
Where is Gopalbhai Vaghela located?
Gopalbhai Vaghela practices at 129 N Washington St, Sumter, SC 29150. The listed phone number is (803) 774-9680.
What is Gopalbhai Vaghela's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Gopalbhai Vaghela enrolled in Medicare?
Yes. Gopalbhai Vaghela is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Gopalbhai Vaghela's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gopalbhai Vaghela reassigns Medicare benefits to 2 organizations: Palmetto Health - University Of South Carolina Medical Group (Sumter, SC) and Mcleod Regional Medical Center Of The Pee Dee, Inc (Florence, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gopalbhai Vaghela's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Gopalbhai Vaghela affiliated with any hospitals?
According to CMS data, Gopalbhai Vaghela is affiliated with Prisma Health Richland Hospital and Prisma Health Tuomey Hospital.
When was this NPI record last updated?
The NPPES record for Gopalbhai Vaghela was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Gopalbhai Kanijibhai Vaghela, MD · NPI 1013221589
Hospitalist physician in Sumter, South Carolina. Individual provider, active in the CMS NPPES registry since July 27, 2010.
## Identity
- **NPI:** 1013221589 (Entity type: Individual)
- **Enumerated:** July 27, 2010
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 33084 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 129 N WASHINGTON ST, Sumter, SC 29150-4949
- **Phone:** (803) 774-9680 · **Fax:** (803) 434-3955
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Palmetto Health - University Of South Carolina Medical Group (NPI 1295211894, Sumter, SC); Mcleod Regional Medical Center Of The Pee Dee, Inc (NPI 1154371433, Florence, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** October 2, 2023
- **Other identifiers:** Medicaid 330840 (SC); Medicaid 5916219 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1013221589) · Data from the CMS NPPES public registry.