Indravadan Sakarlal Gatiwala, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

009600919 Issued in NC

Practice address

785 Oakridge Blvd
Lumberton, NC 28358-2325

Phone

(910) 739-2343

Fax

(910) 739-2338

NPI assigned

Jun 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Neurology

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050
• Columbus Regional Healthcare System Hospital, Whiteville, NC, CCN 340068

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDDECA/Endpoint/JDDECA
• Direct secure messaging: regionalhealthdiagnostics.indravadangatiwala@117073.advancedmd-direct.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JDDECA

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.

• Neurology Center of Lumberton Inc

  • Specialist
  • Lumberton, NC
  • NPI 1477671980
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbus Regional Healthcare System

  dba South Columbus Medical Clinic

  • General Acute Care Hospital
  • Whiteville, NC
  • NPI 1376537555
  Care Compare affiliation
• Southeastern Regional Medical Center

  dba UNC Health Southeastern

  • General Acute Care Hospital
  • Lumberton, NC
  • NPI 1427030774
  Care Compare affiliation

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1144227638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 OAKRIDGE BLVD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582325",
            "telephone_number": "910-739-2343",
            "fax_number": "910-739-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 OAKRIDGE BLVD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582325",
            "telephone_number": "910-739-2343",
            "fax_number": "910-739-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATIWALA",
        "first_name": "INDRAVADAN",
        "middle_name": "SAKARLAL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "009600919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8934955",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Emilia Corazon Garcia, MD
• William Gartlan, DO
• Boyd Bennett Gasque Jr., M.D.
• Jasmine Elizabeth Gaston, MD
• Kirsten Gateless, DO
• Allan Gentry
• Laura Iris Gerald, M.D.
• Dixon William Gerber, M.D.
• Mary Gerideau, LCSW-A
• Pradeep Ghimire, MD

• Neurology Physician in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.

Verify at the official NPI Registry.