Active NPI
Avinash C Gulanikar, M.D,
- Urology Physician
- Flowood, MS
National Provider Identifier
1013098995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 14159
- Practice address
- 294 East Layfair Dr
Flowood, MS 39232 - Phone
- (601) 936-4645
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 14159 | MS | Primary |
Addresses
Primary practice location
294 East Layfair Dr
Flowood, MS 39232
Mailing address
294 East Layfair Dr
Flowood, MS 39232
Phone (601) 936-4645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00120500 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060127000269 | MS | Practitioner - Urology | 5395759476 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Radiation Oncology Consultants, PLLC | Single Specialty | Past | Accepting new patients |
| University Surgery Associates, PLLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiation Oncology Physician
- Jackson, MS
- NPI 1316026818
Single Specialty
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Jackson, MS
- NPI 1356451652
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1013098995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "294 EAST LAYFAIR DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "39232",
"telephone_number": "601-936-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 EAST LAYFAIR DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "39232",
"telephone_number": "601-936-4645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULANIKAR",
"first_name": "AVINASH",
"middle_name": "C",
"credential": "M.D,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "MS",
"license": "14159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00120500",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.