Raaj Amin, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

200200632 Issued in NC

Practice address

27417 Andrew Jackson Highway East
Delco, NC 28436

Phone

(910) 207-0777

Fax

(910) 202-6312

NPI assigned

Aug 19, 2006

Last updated

Feb 13, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13399/brand/1/csg/1/fhir/r4
• Direct secure messaging: raaj.amin.1@13399.direct.athenahealth.com

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.

• Sandpiper Pediatrics PLLC

  • Pediatrics Physician
  • Delco, NC
  • NPI 1932562105
  NPD (past) Authorized official

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1194839811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 FINIAN DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284092685",
            "telephone_number": "910-207-0777",
            "fax_number": "910-202-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27417 ANDREW JACKSON HIGHWAY EAST",
            "city": "DELCO",
            "state": "NC",
            "postal_code": "28436",
            "telephone_number": "910-207-0777",
            "fax_number": "910-202-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "RAAJ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200200632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1201081",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "561980160X10",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "131PJ",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B7908",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89131PJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Access NC, LLC (The Center for Alternative Resources and Education)
• Cara Bailey
• Shanise Laquae Belamy, MASSAGE THERAPIST
• Richard Catoe Bumgardner, MD
• Community Support Agency, LLC
• Joseph E. Corbin, LPC, LCAS

• Pediatrics Physician in Delco, NC
• Providers in Delco, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.