Individual provider Active NPI

Sejal Dave, MD

  • Hematology & Oncology Physician
  • Gastonia, NC
National Provider Identifier
1124234901
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2014-00069 Issued in NC
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

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036112168MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC, SC, ND, WA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20090729000726 IL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8325191927 Reassigns benefits to 1 organization
I20181026000868 NC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 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 OncologyPractitioner - Hematology 8325191927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

Hospital & facility affiliations

  • Scotland Memorial Hospital Hospital, Laurinburg, NC, CCN 340008
  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301087337MIMDHematology & Oncology Physician
2014-00069NCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation CurrentSince May 13, 2011 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Peacehealth Hematology & Oncology CurrentSince Sep 16, 2024 Accepting new patients
St. Alexius Medical Center CurrentSince Mar 4, 2024 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Apr 1, 2024 Accepting new patients
Caromont Medical Group, Inc. Hematology & Oncology CurrentSince Sep 4, 2018 Accepting new patients
Carolina Family Care, Inc Hematology & Oncology CurrentSince Sep 10, 2020 Accepting new patients
Peacehealth CurrentSince Sep 16, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Hematology & Oncology CurrentSince Aug 24, 2020 Accepting new patients
Caromont Medical Group Inc CurrentSince Sep 4, 2018 Accepting new patients
Morris Hospital CurrentSince Jun 6, 2024 Accepting new patients
Morris Hospital CurrentSince Jun 6, 2024 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Mount Sinai Community Foundation CurrentSince May 13, 2011 Accepting new patients
Carolina Family Care, Inc CurrentSince Sep 10, 2020 Accepting new patients
St Alexius Medical Center CurrentSince Mar 4, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Apr 1, 2024 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

  • Direct secure messaging: sdave422286@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: 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.

View all 31

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.