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JONATHAN PUCHALLA MD
NPI 1427542174
Internal Medicine in Charleston, SC

Active since June 17, 2018PECOS Enrolled
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29414(843) 792-2911(843) 792-5265 Get Directions Write a Review

NPPES record last updated: June 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan Puchalla Md NPPES

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

JONATHAN PUCHALLA MD (NPI 1427542174) is an individual internal medicine provider in Charleston, South Carolina, licensed in South Carolina (LL52725) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427542174
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJONATHAN PUCHALLACredential: MD
Location Address169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333Charleston, SC 29414
Mailing Address169 Ashley Avenue, Room 202 Main Hospital Msc333Charleston, SC 29414
Phone(843) 792-2911
Fax(843) 792-5265
Sole ProprietorNo
Enumeration DateJune 17, 2018
✔ NPI 1427542174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · LL52725
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
169 ASHLEY AVENUE, Charleston, SC 29414
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Puchalla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29414 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.

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 Jonathan Puchalla's NPI number?

The NPI number for Jonathan Puchalla is 1427542174. It was assigned to this individual provider in the NPPES registry on June 17, 2018.

Where is Jonathan Puchalla located?

Jonathan Puchalla practices at 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29414. The listed phone number is (843) 792-2911.

What is Jonathan Puchalla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jonathan Puchalla enrolled in Medicare?

Yes. Jonathan Puchalla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Puchalla was last updated on June 17, 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.