Individual provider Active NPI

Vijay Ramchandra Randive, MD

  • Emergency Medicine Physician
  • Wilmington, NC
National Provider Identifier
1194824177
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
271183-01 Issued in NY
Practice address
6932J Market Street
Wilmington, NC 28411
Phone
(910) 799-1249
Fax
(910) 799-1249
NPI assigned
Sep 22, 2006
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 47297 KY
Emergency Medicine Physician 207P00000X MD0000026562 TN
Emergency Medicine Physician 207P00000X 77729 SD
Emergency Medicine Physician 207P00000X 77729 MN
Emergency Medicine Physician 207P00000X 271183-01 NY Primary
Family Medicine Physician 207Q00000X 17879 OK
Family Medicine Physician 207Q00000X 9300288 NC
Family Medicine Physician 207Q00000X 16556 SC

Addresses

Primary practice location

6932J Market Street
Wilmington, NC 28411

Mailing address

6932J Market Street
Wilmington, NC 28411
Phone (910) 799-1249

Other identifiers 4

IdentifierTypeStateIssuer
890265LMedicaidNC
0265LOtherNCBCBS
70188OtherNCBCBS
8970188MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OK, TN, KY, WV, MN, ND7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20100727000528 NC Practitioner - Emergency MedicinePractitioner - Family Practice 1759414816 Reassigns benefits to 5 organizations
I20111031000169 OK Practitioner - Family Practice 1759414816 Reassigns benefits to 1 organization
I20120801000369 TN Practitioner - Family PracticePractitioner - Emergency Medicine 1759414816 Reassigns benefits to 5 organizations
I20140826001507 KY Practitioner - Family PracticePractitioner - Emergency Medicine 1759414816 Reassigns benefits to 4 organizations
I20220819002110 WV Practitioner - Emergency Medicine 1759414816 Reassigns benefits to 4 organizations
I20241002002716 MN Practitioner - Emergency Medicine 1759414816
I20241114001492 ND Practitioner - Emergency Medicine 1759414816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, shared by 9 NPIs, 1,353 clinicians
Davis Memorial HospitalGroup PAC ID 3072418540, 77 clinicians

Practice addresses (Care Compare)

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 636-3366

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77729MNMDEmergency Medicine Physician
271183-01NYMDEmergency Medicine Physician
77729SDMDEmergency Medicine Physician
MD0000026562TNMDEmergency Medicine Physician
17879OKMDFamily Medicine Physician
16556SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grant Memorial Hospital Inc CurrentSince Jan 13, 2026 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Sweetwater Hospital ER Physician Group Emergency Medicine CurrentSince Dec 31, 2016 Accepting new patients
Richbend Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Nov 20, 2024 Accepting new patients
Sweetwater Hospital Association CurrentSince Dec 31, 2016 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Gem Capital Physicians, PLLC Emergency Medicine CurrentSince Sep 25, 2021 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Mar 2, 2015 Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine CurrentSince Oct 20, 2019 Accepting new patients
Vidant Medical Group LLC CurrentSince Sep 28, 2020 Accepting new patients
Nes Oklahoma, Inc. Emergency Medicine CurrentSince Dec 3, 2021 Accepting new patients
Southern Medical Partners, LLC Emergency Medicine CurrentSince Feb 25, 2019 Accepting new patients
Carr PLLC Emergency Medicine CurrentSince Sep 23, 2017 Accepting new patients
Davis Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Sweetwater Hospital Association Current Accepting new patients
Mercy Hospital of Devils Lake Current Accepting new patients
Grant Memorial Hospital Inc Family Medicine CurrentSince Jan 13, 2026 Accepting new patients
Davis Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Jefferson Emergency Services, PLLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Bull City Physicians, PLLC Emergency Medicine CurrentSince Sep 25, 2021 Accepting new patients
Baptist Health Medical Group Inc Emergency Medicine CurrentSince Feb 25, 2026 Accepting new patients
Mercy Hospital of Devils Lake Emergency Medicine Current Accepting new patients
Putnam Emergency Physicians, PLLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 25, 2026 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince Sep 23, 2017 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
First Flight Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients
Three Forks Emergency Physicians Emergency Medicine Past Accepting new patients
Vance Emergency Physicians Emergency Medicine Past Accepting new patients
Kinston Physicians Group, PLLC Emergency Medicine PastSince Apr 19, 2020 Accepting new patients
Sterling Emergency Services of the Southeast, Inc Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients

Locations (25 of 36)

3290 Solutions Ctr
Chicago, IL 60677

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

11701 Bluegrass Pkwy
#100
Louisville, KY 40299
Phone (502) 928-4100

7702 Bardstown Rd
Louisville, KY 40291
Phone (502) 925-4100

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

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

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1148

200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000

100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

628 E 12th St
Washington, NC 27889
Phone (252) 975-4100

1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/sweet-8feb766f

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 7

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1194824177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6932J MARKET STREET",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28411",
            "telephone_number": "910-799-1249",
            "fax_number": "910-799-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6932J MARKET STREET",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28411",
            "telephone_number": "910-799-1249",
            "fax_number": "910-799-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDIVE",
        "first_name": "VIJAY",
        "middle_name": "RAMCHANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "47297",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD0000026562",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SD",
            "license": "77729",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "77729",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "271183-01",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "17879",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9300288",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "16556",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890265L",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0265L",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "70188",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8970188",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.