PRABAL K. GUHA M.D.
NPI 1043277304
Internal Medicine - Clinical Cardiac Electrophysiology in Florence, SC

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
101 WILLIAM H. JOHNSON STREET, SUITE 600, FLORENCE, SC 29506(843) 667-1891(843) 665-2516 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2021, Dec 28, 2018 (2 updates tracked since 2018).

About Prabal K. Guha M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRABAL K. GUHA M.D. (NPI 1043277304) is an individual clinical cardiac electrophysiology provider in Florence, South Carolina, licensed in South Carolina (23724) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mcleod Medical Center - Dillon, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1043277304
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NamePRABAL K. GUHACredential: M.D.
Location Address101 WILLIAM H. JOHNSON STREET, SUITE 600Florence, SC 29506-2716
Mailing AddressPo Box 3239Florence, SC 29502-3239 · (843) 667-1891 · Fax (843) 665-2516
Fax(843) 665-2516
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateApril 28, 2006
Last NPPES UpdateFebruary 22, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2021
NPI 1043277304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in SC · 23724
Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 23724 (SC)
101 WILLIAM H. JOHNSON STREET, Florence, SC 29506

Other Identifiers 1

Medicaid237247SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Prabal K. Guha M.d. 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.

PECOS PAC ID8224935069
PECOS Enrollment IDI20031218000453
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 57

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
1,532 services593 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
956 services164 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295
This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
853 services332 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
763 services662 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
650 services313 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
635 services552 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mcleod Medical Center - Dillon

Acute Care Hospitals · Dillon, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420005
Location301 E Jackson Street PO Box 1327Dillon, SC 29536 · Dillon County
Emergency services Birthing friendly

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County
Emergency services Birthing friendly

Mcleod Health Cheraw

Acute Care Hospitals · Cheraw, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420107
Location711 Chesterfield HighwayCheraw, SC 29520 · Chesterfield County
Emergency services

Mcleod Health Clarendon

Acute Care Hospitals · Manning, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420109
Location10 East Hospital StreetManning, SC 29102 · Clarendon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier68 claims68 services$2,233.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology
101 WILLIAM H. JOHNSON STREET, SUITE 500
FLORENCE, SC 29506
Internal Medicine (Cardiovascular Disease)
101 WILLIAM H. JOHNSON STREET, SUITE 600
FLORENCE, SC 29506
Obstetrics & Gynecology (Gynecology)
101 WILLIAM H. JOHNSON STREET, SUITE 200
FLORENCE, SC 29506
Obstetrics & Gynecology
101 WILLIAM H. JOHNSON STREET, SUITE 200
FLORENCE, SC 29506
Internal Medicine (Interventional Cardiology)
101 WILLIAM H. JOHNSON STREET, SUITE 600
FLORENCE, SC 29506
Internal Medicine (Cardiovascular Disease)
101 WILLIAM H. JOHNSON STREET, SUITE 600
FLORENCE, SC 29506
Obstetrics & Gynecology
101 WILLIAM H. JOHNSON STREET, SUITE 500
FLORENCE, SC 29506
Family Medicine
101 WILLIAM H. JOHNSON STREET, STE 350
FLORENCE, SC 29506

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 Prabal Guha's NPI number?

The NPI number for Prabal Guha is 1043277304. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Prabal Guha located?

Prabal Guha practices at 101 William H. Johnson Street Suite 600, Florence, SC 29506. The listed phone number is (843) 667-1891.

What is Prabal Guha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Prabal Guha enrolled in Medicare?

Yes. Prabal Guha 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.

What insurance does Prabal Guha accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, InStil Health and Molina Healthcare list Prabal Guha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Prabal Guha affiliated with any hospitals?

According to CMS data, Prabal Guha is affiliated with Mcleod Medical Center - Dillon, Mcleod Regional Medical Center-Pee Dee, Musc Health Florence Medical Center, Mcleod Health Cheraw and Mcleod Health Clarendon.

When was this NPI record last updated?

The NPPES record for Prabal Guha was last updated on February 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.