Individual provider Active NPI

Aman J Pathak, MD

  • Infectious Disease Physician
  • Wilmington, NC
National Provider Identifier
1124114178
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Practice address
2310 Delaney Rd
Wilmington, NC 28403-6013
Phone
(910) 763-4511
Fax
(910) 763-6608
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X NC Primary

Addresses

Primary practice location

2310 Delaney Rd
Wilmington, NC 28403-6013

Mailing address

2310 Delaney Rd
Wilmington, NC 28403-6013
Phone (910) 763-4511

Other identifiers 1

IdentifierTypeStateIssuer
143C7OtherNCBCBS NC PROVIDER #

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
I20061121000207 NC Practitioner - Infectious DiseasePractitioner - Internal Medicine 1951309236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Infectious Disease ConsultantsGroup PAC ID 7719992544, 3 clinicians

Practice addresses (Care Compare)

2310 Delaney Ave
Wilmington, NC 28403-6013
Phone (910) 763-4511

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
  • Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158
  • Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as individual
Quality
75.43
Promoting interoperability
81
Improvement activities
40
Cost
74.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006-00839NCMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Infectious Disease Consultants Infectious Disease CurrentSince Aug 1, 2006 Accepting new patients

Locations

2310 Delaney Ave
Wilmington, NC 28403
Phone (910) 763-4511

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9622/brand/1/csg/1/fhir/r4
  • Direct secure messaging: aman.pathak.1@9622.direct.athenahealth.com
  • Direct secure messaging: apathak1250261@direct.novanthealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124114178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 DELANEY RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036013",
            "telephone_number": "910-763-4511",
            "fax_number": "910-763-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 DELANEY RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036013",
            "telephone_number": "910-763-4511",
            "fax_number": "910-763-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "AMAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC PROVIDER #",
            "identifier": "143C7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.