Organization Active NPI

Oceana Primary Care, PA

  • Internal Medicine Physician
  • Wilmington, NC
National Provider Identifier
1225077720
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OCEANA PRIMARY CARE, PA
Practice address
4000 Shipyard Blvd
Suite 110
Wilmington, NC 28403-6192
Phone
(910) 313-6954
Fax
(910) 313-6957
NPI assigned
Jun 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Dr. Ami S. Patel, MDNPI 1407895907
Title
President
Phone
(910) 313-6954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4000 Shipyard Blvd
Suite 110
Wilmington, NC 28403-6192

Mailing address

4000 Shipyard Blvd
Suite 110
Wilmington, NC 28403-6192
Phone (910) 313-6954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080718000548 NC Part B Supplier - Clinic/Group Practice 7810096369 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0992593Oceana Primary Care PA-Ami Patel MD4000 Shipyard Boulevard Suite 110, Wilmington, NC 28403Certificate of waiverOct 21, 2027

National Provider Directory

National Provider Directory

Locations

4000 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 763-3166

4000 Shipyard Blvd
Ste 110
Wilmington, NC 28403
Phone (910) 313-6954

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1225077720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SHIPYARD BLVD",
            "address_2": "SUITE 110",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036192",
            "telephone_number": "910-313-6954",
            "fax_number": "910-313-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SHIPYARD BLVD",
            "address_2": "SUITE 110",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036192",
            "telephone_number": "910-313-6954",
            "fax_number": "910-313-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANA PRIMARY CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMI",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-313-6954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.