Active NPI
Sejal Dave, MD
- Hematology & Oncology Physician
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 2014-00069
- Practice address
- 2711 X Ray Dr Ste 3701
Gastonia, NC 28054 - Phone
- (980) 834-9600
- Fax
- (980) 834-9605
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 036112168 | IL | |
| Hematology & Oncology Physician | 207RH0003X | 2014-00069 | NC | Primary |
| Hematology & Oncology Physician | 207RH0003X | MD61551455 | WA | |
| Hematology & Oncology Physician | 207RH0003X | 4301087337 | MI |
Addresses
Primary practice location
2711 X Ray Dr Ste 3701
Gastonia, NC 28054
Mailing address
2711 X Ray Dr Ste 3701
Gastonia, NC 28054-7491
Phone (980) 834-9600
Other practice location 1
505 NE 87th Ave Ste 320
Vancouver, WA 98664-1965
Phone (360) 514-2550
Other practice location 2
1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-7878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036112168 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NC, SC, ND, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090729000726 | IL | Practitioner - Hematology/Oncology | 8325191927 | Reassigns benefits to 1 organization |
| I20181026000868 | NC | Practitioner - Hematology/Oncology | 8325191927 | Reassigns benefits to 5 organizations |
| I20200915002006 | SC | Practitioner - Hematology/Oncology | 8325191927 | Reassigns benefits to 2 organizations |
| I20240313004126 | ND | Practitioner - Hematology/Oncology | 8325191927 | Reassigns benefits to 1 organization |
| I20240814002070 | WA | Practitioner - Medical Oncology | 8325191927 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Scotland Memorial Hospital, Inc
Practice addresses (Care Compare)
500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172
Hospital & facility affiliations
- Scotland Memorial Hospital
- Firsthealth Moore Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301087337 | MI | MD | Hematology & Oncology Physician |
| 2014-00069 | NC | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Peacehealth | Hematology & Oncology | Current | Accepting new patients |
| St. Alexius Medical Center | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| Caromont Medical Group, Inc. | Hematology & Oncology | Current | Accepting new patients |
| Carolina Family Care, Inc | Hematology & Oncology | Current | Accepting new patients |
| Peacehealth | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Hematology & Oncology | Current | Accepting new patients |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Carolina Family Care, Inc | Current | Accepting new patients | |
| St Alexius Medical Center | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Peacehealth | Past | Accepting new patients |
Locations
26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900
150 W High St
Morris, IL 60450
Phone (815) 942-2129
100 Medical Park Dr
Ste 110
Concord, NC 28025
Phone (704) 403-1370
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799
2711 X Ray Dr
Ste 3701
Gastonia, NC 28054
Phone (980) 384-9600
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175
1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818
505 NE 87th Ave
Ste 350
Vancouver, WA 98664
Phone (360) 397-1500
505 NE 87th Ave
Ste 320
Vancouver, WA 98664
Phone (360) 214-2550
1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100
505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854
Interoperability endpoints
- sdave422286@carolinashealthcaresystem.direct-ci.com
- sdave664373@direct.peacehealth.org
Organizations & group practices 31
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.
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
- Internal Medicine Physician
- Rock Hill, SC
- NPI 1306269691
SC
-
- Rural Health Clinic/Center
- Laurinburg, NC
- NPI 1124552310
-
- Certified Registered Nurse Anesthetist
- Laurinburg, NC
- NPI 1407840374
-
- Rural Health Clinic/Center
- Laurinburg, NC
- NPI 1457345548
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1124234901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 X RAY DR STE 3701",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547491",
"telephone_number": "980-834-9600",
"fax_number": "980-834-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 X RAY DR STE 3701",
"city": "GASTONIA",
"state": "NC",
"postal_code": "28054",
"telephone_number": "980-834-9600",
"fax_number": "980-834-9605"
}
],
"practiceLocations": [
{
"address_1": "505 NE 87th Ave Ste 320",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986641965",
"country_code": "US",
"telephone_number": "360-514-2550",
"fax_number": "360-514-1927",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1615 Delaware St",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "WA",
"postal_code": "986322367",
"country_code": "US",
"telephone_number": "360-414-7878",
"fax_number": "360-414-7876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVE",
"first_name": "SEJAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "036112168",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "2014-00069",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WA",
"license": "MD61551455",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MI",
"license": "4301087337",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036112168",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.