Individual provider Active NPI

Ram Anand Sapasetty, M.D.

  • Nephrology Physician
  • Kinston, NC
National Provider Identifier
1114969268
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
9700743 Issued in NC
Practice address
608A Airport Road
Kinston, NC 28504
Phone
(252) 523-8512
Fax
(252) 317-2096
NPI assigned
Jun 12, 2006
Last updated
Jan 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 9700743 NC Primary

Addresses

Primary practice location

608A Airport Road
Kinston, NC 28504

Mailing address

608A Airport Road
Kinston, NC 28504
Phone (252) 523-8512

Other identifiers 3

IdentifierTypeStateIssuer
2190717OtherNCUNITED HEALTH CARE
10740OtherNCBC/BS-NC INDIVIDUAL #
8910740MedicaidNC

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
I20050527000625 NC Practitioner - NephrologyPractitioner - Internal Medicine 7517909641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Nephrology Associates PLLCGroup PAC ID 2264420512, 75 clinicians

Practice addresses (Care Compare)

511 Paladin Dr
Greenville, NC 27834-7826
Phone (252) 752-8880

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9700743NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Nephrology Associates PLLC Nephrology CurrentSince Jul 2, 2007 Accepting new patients

Locations

511 Paladin Dr
Greenville, NC 27834
Phone (252) 317-2280

608 Airport Rd
#A
Kinston, NC 28504
Phone (252) 523-8512

1302 Medical Center Dr
Wilmington, NC 28401
Phone (910) 343-9800

Interoperability endpoints

  • Direct secure messaging: ramsapasetty@ena.allscriptsdirect.net
  • Direct secure messaging: rsapasetty22349@direct.acumenmd.com

Organizations & group practices 1

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 7

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1114969268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608A AIRPORT ROAD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28504",
            "telephone_number": "252-523-8512",
            "fax_number": "252-317-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608A AIRPORT ROAD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28504",
            "telephone_number": "252-523-8512",
            "fax_number": "252-317-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPASETTY",
        "first_name": "RAM",
        "middle_name": "ANAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "9700743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2190717",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS-NC INDIVIDUAL #",
            "identifier": "10740",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910740",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.