DR. VIDHATH REDDY MOKU DO
NPI 1730717018
Physical Medicine & Rehabilitation - Pain Medicine in Columbia, SC

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
114 GATEWAY CORPORATE BLVD, COLUMBIA, SC 29203(803) 365-8640 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2026, Mar 31, 2020 (2 updates tracked since 2020).

About Dr. Vidhath Reddy Moku Do NPPES

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

DR. VIDHATH REDDY MOKU DO (NPI 1730717018) is an individual pain medicine provider in Columbia, South Carolina, licensed in South Carolina (94650) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1730717018
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameDR. VIDHATH REDDY MOKUCredential: DO
Location Address114 GATEWAY CORPORATE BLVDColumbia, SC 29203-9740
Mailing Address114 Gateway Corporate BlvdColumbia, SC 29203-9740 · (803) 365-8640
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 31, 2020
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1730717018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in SC · 94650
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
114 GATEWAY CORPORATE BLVD, Columbia, SC 29203

Other Identifiers 1

Other597729956NY · Drivers License

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. Vidhath Reddy Moku Do 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 ID5092202325
PECOS Enrollment IDI20251013000443
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.

Medicare Billing Reassignment

Medicare enrollment records show Vidhath Moku reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 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.

Hospital Affiliations CMS Care Compare 3

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Kershawhealth

Acute Care Hospitals · Camden, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420048
Location1315 Roberts StreetCamden, SC 29020 · Kershaw County
Emergency services Birthing friendly

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.

Orthopaedic Surgery
114 GATEWAY CORPORATE BLVD, SUITE 110
COLUMBIA, SC 29203
Neurological Surgery
114 GATEWAY CORPORATE BLVD, SUITE 110
COLUMBIA, SC 29203
Nurse Practitioner (Women's Health)
114 GATEWAY CORPORATE BLVD, SUITE 120
COLUMBIA, SC 29203
Family Medicine
114 GATEWAY CORPORATE BLVD
COLUMBIA, SC 29203
Neurological Surgery
114 GATEWAY CORPORATE BLVD, SUITE 110
COLUMBIA, SC 29203
Internal Medicine
114 GATEWAY CORPORATE BLVD, SUITE 330
COLUMBIA, SC 29203
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
114 GATEWAY CORPORATE BLVD, SUITE 430
COLUMBIA, SC 29203
Audiologist
114 GATEWAY CORPORATE BLVD, SUITE 120
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 Vidhath Moku's NPI number?

The NPI number for Vidhath Moku is 1730717018. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Vidhath Moku located?

Vidhath Moku practices at 114 Gateway Corporate Blvd, Columbia, SC 29203. The listed phone number is (803) 365-8640.

What is Vidhath Moku's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Vidhath Moku enrolled in Medicare?

Yes. Vidhath Moku 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 Vidhath Moku's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vidhath Moku reassigns Medicare benefits to Musc Community Physicians (Bamberg, 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 Vidhath Moku's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vidhath Moku accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Vidhath Moku 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 Vidhath Moku affiliated with any hospitals?

According to CMS data, Vidhath Moku is affiliated with Musc Medical Center, Musc Health Columbia Medical Center Downtown and Kershawhealth.

When was this NPI record last updated?

The NPPES record for Vidhath Moku was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.