Individual provider Active NPI

Ashvin T Ragoowansi, M.D.

  • Neurological Surgery Physician
  • Gastonia, NC
National Provider Identifier
1053319129
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
2016-01599 Issued in NC
Practice address
811 Cox Rd
Gastonia, NC 28054-3453
Phone
(704) 852-3888
Fax
(704) 852-4456
NPI assigned
Jul 12, 2005
Last updated
Jul 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD050194L PA
Neurological Surgery Physician 207T00000X 2016-01599 NC Primary

Addresses

Primary practice location

811 Cox Rd
Gastonia, NC 28054-3453

Mailing address

811 Cox Rd
Gastonia, NC 28054-3453
Phone (704) 852-3888

Other identifiers 3

IdentifierTypeStateIssuer
0014211140001MedicaidPA
0014211140004MedicaidPA
3810010808MedicaidWV

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
I20160906001351 NC Practitioner - Neurosurgery 2769423201 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016-01599NCMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group Inc CurrentSince Jul 18, 2016 Accepting new patients
Caromont Medical Group Inc CurrentSince Jul 18, 2016 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Oakland Neurosurgical Associates Past Accepting new patients

Locations

2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

811 Cox Rd
Gastonia, NC 28054
Phone (704) 272-3578

Interoperability endpoints

  • Direct secure messaging: ashvinragoowansi@hvhs.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1053319129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543453",
            "telephone_number": "704-852-3888",
            "fax_number": "704-852-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543453",
            "telephone_number": "704-852-3888",
            "fax_number": "704-852-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGOOWANSI",
        "first_name": "ASHVIN",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD050194L",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "2016-01599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014211140001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014211140004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010808",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.