NPIMap

Individual provider Active NPI

Lokesh Kebbehundi Marigowda, MD

  • Internal Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1174730188
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301087631 Issued in MI
Practice address
1638 Owen Dr Ste 2
Fayetteville, NC 28304-3424
Phone
(910) 615-4000
Fax
(910) 615-5681
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301087631 MI Primary

Addresses

Primary practice location

1638 Owen Dr Ste 2
Fayetteville, NC 28304-3424

Mailing address

PO Box 40908
Attn. Managed Care Planning
Fayetteville, NC 28309
Phone (910) 615-6949

Organizations & group practices 18

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 18

Hospital & facility affiliations 16

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

View all 16

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland County Hospital System Inc 581 clinicians

Practice addresses (Care Compare)

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-8000

Hospital & facility affiliations

  • Healthkeeperz ,Inc Hospice, Fayetteville, NC, CCN 341541
  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028
  • Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090824000492 MI Practitioner - Internal Medicine 6406900521 Reassigns benefits to 3 organizations
I20150827003142 NC Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 6406900521 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301087631MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc Current Accepting new patients
Ascension Borgess Hospital CurrentSince Jul 1, 2009 Accepting new patients
Ascension Borgess Hospital CurrentSince Jul 1, 2009 Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince Feb 1, 2013 Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
Promed Healthcare CurrentSince Dec 31, 2011 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jul 16, 2015 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jul 16, 2015 Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince Feb 1, 2013 Accepting new patients
Ascension Medical Group Promed Internal Medicine CurrentSince Dec 31, 2011 Accepting new patients

Locations

50 Industrial Park Rd
Bangor, MI 49013
Phone (269) 427-7937

800 M 139
Benton Harbor, MI 49022
Phone (269) 927-5400

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-8557

800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800

1638 Owen Dr
Ste 2
Fayetteville, NC 28304

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

215 Brightwater Dr
Lillington, NC 27546
Phone 9108921000 ext. 3007

Interoperability endpoints

  • Direct secure messaging: lmarigowda3830611@direct.trinity-health.org
  • Direct secure messaging: lmarigowda10113@capefearvalley.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1174730188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40908",
            "address_2": "ATTN. MANAGED CARE PLANNING",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28309",
            "telephone_number": "910-615-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR STE 2",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-615-4000",
            "fax_number": "910-615-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBBEHUNDI MARIGOWDA",
        "first_name": "LOKESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301087631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.