Active NPI
Gilda Cardenosa, M.D.
- Diagnostic Radiology Physician
- Winston Salem, NC
National Provider Identifier
1164526497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2000-01086
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-0470 - Phone
- (336) 716-7243
- Fax
- (336) 716-7432
- NPI assigned
- Sep 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101239045 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | 2000-01086 | NC | Primary |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-0470
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2255
Other practice location 1
1250 E Marshall Street
Radiology
Richmond, VA 23298-0470
Phone (804) 828-8262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010245087 541581185 | Medicaid | VA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000-01086 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Baptist Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wake Forest Baptist Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wake Forest Baptist Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Diagnostic Radiology & Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Diagnostic Radiology & Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Diagnostic Radiology & Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
265 Executive Park Blvd
Winston Salem, NC 27103
Phone (336) 765-5722
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Organizations & group practices 7
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.
-
- Radiology Clinic/Center
- Winston Salem, NC
- NPI 1972763357
Diagnostic Radiology
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1841049913
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1548286461
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1952327934
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1992736326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1164526497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-2255",
"fax_number": "336-716-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570470",
"telephone_number": "336-716-7243",
"fax_number": "336-716-7432"
}
],
"practiceLocations": [
{
"address_1": "1250 E Marshall Street",
"address_2": "Radiology",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232980470",
"country_code": "US",
"telephone_number": "804-828-8262",
"fax_number": "804-828-6129",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARDENOSA",
"first_name": "GILDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-08",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101239045",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "2000-01086",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010245087 541581185",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.