NPIMap

Individual provider Active NPI

Sunil Badami, MD

  • Medical Oncology Physician
  • Tarboro, NC
National Provider Identifier
1003269085
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
2022-00265 Issued in NC
Practice address
105 Hospital Dr
Tarboro, NC 27886-2011
Phone
(252) 641-7714
NPI assigned
Jul 14, 2016
Last updated
Jun 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4301109998 MI
Medical Oncology Physician 207RX0202X 2022-00265 NC Primary

Addresses

Primary practice location

105 Hospital Dr
Tarboro, NC 27886-2011

Mailing address

105 Hospital Dr
Tarboro, NC 27886-2011
Phone (502) 291-7459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220616003136 NC Practitioner - Internal Medicine 0840587226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2076 NC Hwy 42 W
Clayton, NC 27520-5303
Phone (919) 585-8835

2076 Veterans Pkwy
Suite 300
Clayton, NC 27520-5303
Phone (919) 585-8835

509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 938-7595

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Health-Bertie CurrentSince Jun 2, 2022 Accepting new patients
East Carolina Health-Bertie CurrentSince Jun 2, 2022 Accepting new patients
Johnston Specialty Physician Services,Inc CurrentSince Oct 1, 2025 Accepting new patients
Johnston Specialty Physician Services,Inc Current Accepting new patients
Johnston Specialty Physician Services,Inc Past Accepting new patients

Locations

2076 Veterans Pkwy
Ste 300
Clayton, NC 27520
Phone (919) 585-8835

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

514 N Brightleaf Blvd
Ste 1100
Smithfield, NC 27577
Phone (919) 939-2192

1403 S King St
Windsor, NC 27983
Phone (252) 794-6685

Interoperability endpoints

  • Direct secure messaging: sbadami380349@direct.ecuhealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1003269085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HOSPITAL DR",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862011",
            "telephone_number": "502-291-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HOSPITAL DR",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862011",
            "telephone_number": "252-641-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADAMI",
        "first_name": "SUNIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-14",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301109998",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NC",
            "license": "2022-00265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarboro, NC

Sources for this page

Verify at the official NPI Registry.