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DR. CALEB J KNISLEY MD
NPI 1689314254
Student in an Organized Health Care Education/Training Program in Columbia, SC

Active since March 31, 2022PECOS Enrolled
3 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203(803) 434-6095 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2025, May 30, 2025 (2 updates tracked since 2025).

About Dr. Caleb J Knisley Md NPPES

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

DR. CALEB J KNISLEY MD (NPI 1689314254) is an individual student in an organized health care education/training program in Columbia, South Carolina, licensed in South Carolina (MD94642) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689314254
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CALEB J KNISLEYCredential: MD
Location Address3 RICHLAND MEDICAL PARK DRColumbia, SC 29203-6849
Mailing Address3 Richland Medical Park Dr Ste 500Columbia, SC 29203-6854 · (803) 434-6095
Phone(803) 434-6095
Sole ProprietorNo
Enumeration DateMarch 31, 2022
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1689314254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in SC · MD94642
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD94642 (SC)
3 RICHLAND MEDICAL PARK DR, Columbia, SC 29203
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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)

Dr. Caleb J Knisley 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.

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.

ELGIN PODIATRY INSTITUTE, LLC
Podiatrist (Foot & Ankle Surgery)
3 RICHLAND MEDICAL PARK DR, SUITE 110
COLUMBIA, SC 29203
Richland County (803) 807-9388
MR. KENNETH HERBERT JOHNS M.AUD.
Audiologist
3 RICHLAND MEDICAL PARK DR, SUITE 130
COLUMBIA, SC 29203
Richland County (803) 765-1919
PALMETTO HEALTH
Neurological Surgery
3 RICHLAND MEDICAL PARK DR, SUITE 310
COLUMBIA, SC 29203
Richland County (803) 434-8323
ROHAM MOFTAKHAR M.D.
Neurological Surgery
3 RICHLAND MEDICAL PARK DR, SUITE 310
COLUMBIA, SC 29203
Richland County (803) 434-8323
DEMERISE OTT MINOR FNP
Nurse Practitioner (Family)
3 RICHLAND MEDICAL PARK DR, SUITE 310
COLUMBIA, SC 29203
Richland County (803) 434-8323
DR. ERWIN ZETA MANGUBAT MD
Neurological Surgery
3 RICHLAND MEDICAL PARK DR, SUITE 310
COLUMBIA, SC 29203
Richland County (803) 434-8323
DR. STANLEY O SKARLI MD
Neurological Surgery
3 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203
Richland County (803) 434-8323
WILLIAM REECE MCWILLIAMS M.D.
Dermatology
3 RICHLAND MEDICAL PARK DR, SUITE 500
COLUMBIA, SC 29203
Richland County (803) 779-7316

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 Caleb Knisley's NPI number?

The NPI number for Caleb Knisley is 1689314254. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Caleb Knisley located?

Caleb Knisley practices at 3 Richland Medical Park Dr, Columbia, SC 29203. The listed phone number is (803) 434-6095.

What is Caleb Knisley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Caleb Knisley enrolled in Medicare?

Yes. Caleb Knisley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Caleb Knisley was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.