DR. SUNITA PAUDYAL MD
NPI 1225230949
Internal Medicine - Rheumatology in Columbia, SC
About Dr. Sunita Paudyal Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUNITA PAUDYAL MD (NPI 1225230949) is an individual rheumatology provider in Columbia, South Carolina, licensed in South Carolina (39206) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Accepted Insurance
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
Dr. Sunita Paudyal 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 Reassignment
Medicare enrollment records show Sunita Paudyal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbia, SC 29203
- Reassigned Medicare billing, South Carolina enrollment
- 1,466 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 7
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 3
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 Baptist
Acute Care Hospitals · Columbia, SCPrisma Health Baptist Parkridge
Acute Care Hospitals · Columbia, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBIA, SC 29203
COLUMBIA, SC 29203
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 Sunita Paudyal's NPI number?
The NPI number for Sunita Paudyal is 1225230949. It was assigned to this individual provider in the NPPES registry on June 4, 2007.
Where is Sunita Paudyal located?
Sunita Paudyal practices at 2 Medical Park Road Suite 501, Columbia, SC 29203. The listed phone number is (803) 540-1000.
What is Sunita Paudyal's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Sunita Paudyal enrolled in Medicare?
Yes. Sunita Paudyal 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 organization bills Medicare for Sunita Paudyal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sunita Paudyal reassigns Medicare benefits to Prisma Health Medical Group-Midlands (Columbia, SC). The 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 Sunita Paudyal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sunita Paudyal accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Sunita Paudyal 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 Sunita Paudyal affiliated with any hospitals?
According to CMS data, Sunita Paudyal is affiliated with Prisma Health Richland Hospital, Prisma Health Baptist and Prisma Health Baptist Parkridge.
When was this NPI record last updated?
The NPPES record for Sunita Paudyal was last updated on April 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Sunita Paudyal, MD · NPI 1225230949
Rheumatology physician in Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since June 4, 2007.
## Identity
- **NPI:** 1225230949 (Entity type: Individual)
- **Enumerated:** June 4, 2007
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** 39206 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2 MEDICAL PARK ROAD, SUITE 501, Columbia, SC 29203-6839
- **Phone:** (803) 540-1000 · **Fax:** (803) 540-1075
## 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:** Prisma Health Medical Group-Midlands (NPI 1346761897, Columbia, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** April 5, 2018
- **Other identifiers:** Medicaid 392060 (SC); Other MD126236 (OR); Other 39206 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1225230949) · Data from the CMS NPPES public registry.