Individual provider Active NPI

Rowena Maria Sistasis, M.D.

  • Family Medicine Physician
  • Asheboro, NC
National Provider Identifier
1013990506
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9701903 Issued in NC
Practice address
147 E Academy St
Asheboro, NC 27203-5706
Phone
(336) 633-1212
Fax
(336) 633-1218
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9701903 NC Primary

Addresses

Primary practice location

147 E Academy St
Asheboro, NC 27203-5706

Mailing address

PO Box 4247
Asheboro, NC 27204-4247
Phone (336) 633-1212

Other identifiers 1

IdentifierTypeStateIssuer
8911330MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000788 NC Practitioner - Family Practice 9436118965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sistasis Family Practice,Inc.Group PAC ID 7719946243, 2 clinicians

Practice addresses (Care Compare)

147 E Academy St
Asheboro, NC 27203-5706
Phone (336) 633-1212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9701903NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sistasis Family Practice,Inc. CurrentSince Sep 27, 2004 Accepting new patients
Five Points Medical Center Inc Past Accepting new patients
Five Points Medical Center, PC Past Accepting new patients

Locations

147 E Academy St
Asheboro, NC 27203
Phone (336) 633-1212

Interoperability endpoints

  • Direct secure messaging: rowena.sistasis.1@17773.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17773/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 1

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1013990506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4247",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272044247",
            "telephone_number": "336-633-1212",
            "fax_number": "336-633-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 E ACADEMY ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035706",
            "telephone_number": "336-633-1212",
            "fax_number": "336-633-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISTASIS",
        "first_name": "ROWENA",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9701903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911330",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.