Active NPI
Vijay Ramchandra Randive, MD
- Emergency Medicine Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 271183-01
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890265L | Medicaid | NC | |
| 0265L | Other | NC | BCBS |
| 70188 | Other | NC | BCBS |
| 8970188 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, OK, TN, KY, WV, MN, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Musc Community Physicians
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
| License | State | Type | Specialty |
|---|---|---|---|
| 77729 | MN | MD | Emergency Medicine Physician |
| 271183-01 | NY | MD | Emergency Medicine Physician |
| 77729 | SD | MD | Emergency Medicine Physician |
| MD0000026562 | TN | MD | Emergency Medicine Physician |
| 17879 | OK | MD | Family Medicine Physician |
| 16556 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant Memorial Hospital Inc | Current | Accepting new patients | |
| Tri-Cities Regional Emergency Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| Sweetwater Hospital ER Physician Group | Emergency Medicine | Current | Accepting new patients |
| Richbend Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital of Devils Lake | Current | Accepting new patients | |
| Sweetwater Hospital Association | Current | Accepting new patients | |
| Correct Care, Inc. | Emergency Medicine | Current | Accepting new patients |
| Gem Capital Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| The Carolinas Emergency Group, PLLC | Emergency Medicine | Current | Accepting new patients |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Nes Oklahoma, Inc. | Emergency Medicine | Current | Accepting new patients |
| Southern Medical Partners, LLC | Emergency Medicine | Current | Accepting new patients |
| Carr PLLC | Emergency Medicine | Current | Accepting new patients |
| Davis Memorial Hospital | Current | 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 | Current | Accepting new patients |
| Davis Memorial Hospital | Current | Accepting new patients | |
| Jefferson Emergency Services, PLLC | Emergency Medicine | Current | Accepting new patients |
| Bull City Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital of Devils Lake | Emergency Medicine | Current | Accepting new patients |
| Putnam Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| T M Carr MD PC | Emergency Medicine | Current | 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 | Past | 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
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- 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.
-
dba Davis Medical Center
- General Acute Care Hospital
- Elkins, WV
- NPI 1619964806
-
- Emergency Medicine Physician
- Henderson, NC
- NPI 1770004285
-
- Emergency Medicine Physician
- Louisburg, NC
- NPI 1225524598
-
- Emergency Medicine Physician
- Jefferson, NC
- NPI 1720495336
-
- Emergency Medicine Physician
- Dunn, NC
- NPI 1477508836
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
dba Sound Physicians Emergency of Greater Memphis
- Emergency Medicine Physician
- Brentwood, TN
- NPI 1548677610
-
- Critical Access Hospital
- Petersburg, WV
- NPI 1013603919
-
dba CHI St Alexius Health Devils Lake
- Critical Access Hospital
- Devils Lake, ND
- NPI 1659343093
-
dba CHI St Alexius Health Devils Lake
- Emergency Medicine Physician
- Devils Lake, ND
- NPI 1790751170
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Davis Medical Center
- General Acute Care Hospital
- Elkins, WV
- NPI 1619964806
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
-
dba MUSC Health- Rehabiliation - orangeburg - part of musc medical center
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
-
dba MUSC Health - Psychiatry - Orangeburg - part of MUSC Medical Center Ch
- Psychiatric Hospital
- Orangeburg, SC
- NPI 1669171740
-
dba MUSC Health - Orangeburg, part of the MUSC Medical Center - Charleston
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
-
dba MUSC Health - Orangeburg, part of MUSC Medical Center - CHarleston
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.