NPIMap

Organization Active NPI

Carolina Cape Fear Medical Group, PA

Doing business as Carolina Heart and Leg Center, PA

  • Cardiovascular Disease Physician
  • Fayetteville, NC
National Provider Identifier
1124450572
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
200300698 Issued in NC
Legal business name
CAROLINA CAPE FEAR MEDICAL GROUP, PA
Doing business as
Carolina Heart and Leg Center, PA
Practice address
3637 Cape Center Dr
Fayetteville, NC 28304-4457
Phone
(910) 491-1760
Fax
(910) 491-1764
NPI assigned
Aug 7, 2013
Last updated
Jan 24, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINA CAPE FEAR MEDICAL GROUP, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Dr. Hari P Saini, MDNPI 1649269275
Title
Owner
Phone
(910) 491-1760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU
Cardiovascular Disease Physician 207RC0000X 200300698 NC Primary
Nuclear Cardiology Physician 207UN0901X 200300698 NC

Addresses

Primary practice location

3637 Cape Center Dr
Fayetteville, NC 28304-4457

Mailing address

3637 Cape Center Dr
Fayetteville, NC 28304-4457
Phone (910) 491-1760

Other identifiers 1

IdentifierTypeStateIssuer
1124450572MedicaidNC

Other names 1

  • Carolina Heart and Leg Center, PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131213000894 NC Part B Supplier - Clinic/Group Practice 2466689641 Receives reassigned benefits from 23 practitioners
Practice locations: Fayetteville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0710816Carolina Cape Fear Medical Group, PA3637 Cape Center Drive, Fayetteville, NC 28304Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Part of
Carolina Heart Leg Ctr PA

Locations

3637 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 483-4938

704 Keystone Ct
Fayetteville, NC 28304
Phone (910) 484-4776

4824 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 618-0900

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1124450572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 CAPE CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044457",
            "telephone_number": "910-491-1760",
            "fax_number": "910-491-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 CAPE CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044457",
            "telephone_number": "910-491-1760",
            "fax_number": "910-491-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CAPE FEAR MEDICAL GROUP, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA CAPE FEAR MEDICAL GROUP, PA",
        "enumeration_date": "2013-08-07",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "SAINI",
        "authorized_official_first_name": "HARI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-491-1760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "200300698",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NC",
            "license": "200300698",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124450572",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Heart and Leg Center, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.