North Raleigh Gastroenterology, P.a.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

9400030 Issued in NC

Legal business name

NORTH RALEIGH GASTROENTEROLOGY, P.A.

Practice address

7560 Carpenter Fire Station Rd Ste 303a
Cary, NC 27519-9637

Phone

(919) 846-9011

Fax

(844) 587-9567

NPI assigned

Feb 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rajat Chander, MDNPI 1962551036

Title

President

Phone

(919) 846-9011

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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

• Rajat Chander, M.D.

  • Gastroenterology Physician
  • Cary, NC
  • NPI 1962551036
  Medicare reassignment NPD Authorized official
• Amanda Vaughan Kelly, MSN, FNP-C

  • Family Nurse Practitioner
  • Cary, NC
  • NPI 1811549041
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1245204700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98629",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276248629",
            "telephone_number": "919-846-9011",
            "fax_number": "844-587-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 CARPENTER FIRE STATION RD STE 303A",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199637",
            "telephone_number": "919-846-9011",
            "fax_number": "844-587-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RALEIGH GASTROENTEROLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "CHANDER",
        "authorized_official_first_name": "RAJAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-846-9011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "9400030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891008P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Carolina Internal Medicine, P.C
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• North Carolina Telerad LLC
• North Carolina Urological Associates, Inc
• Alexa Northcraft, DPT
• Molly A Northcutt
• Grace Northington, M.A., CCC-SLP
• Northland Hearing Center, Inc. (Audibel)
• Kristen Michelle Norton, RD, LDN

• Gastroenterology Physician in Cary, NC
• Providers in Cary, NC by specialty
• Gastroenterology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.