Sujethra Vasu, MD
Individual provider Active NPI Cardiovascular Disease Physician · Winston Salem, NC
NPI 1285889832 · NPPES record last updated May 9, 2012
Key facts
- NPI
- 1285889832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 2011-00782 (NC)
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-0001 - Phone
- (336) 716-2255
- NPI assigned
- Nov 24, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wake Forest University Health Sciences
Practice addresses (Care Compare)
1370 W D St
North Wilkesboro, NC 28659-3506
Phone (336) 651-8760
1771 Tate Seblvd
Hickory, NC 28602-4249
Phone (336) 716-2255
1814 Westchester Dr
High Point, NC 27262-7369
Phone (336) 702-1355
1915 W Park Dr
North Wilkesboro, NC 28659-3777
1917 W Park Drivce
N Wilkesboro, NC 28659-3506
Phone (336) 667-3762
2000 W 1St St
Winston Salem, NC 27104-4225
4515 Premier Dr
High Point, NC 27265-8356
4610 Country Club Rd
Winston Salem, NC 27104-3520
Phone (336) 716-2255
4614 Country Club Rd
Winston Salem, NC 27104-3520
Phone (336) 716-2255
4618 Country Club Rd
Winston Salem, NC 27104-3520
Phone (336) 716-3926
Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734
Hospital & facility affiliations
- North Carolina Baptist Hospital
- Wilkes Regional Medical Center
- Lexington Memorial Hospital Inc
- Hugh Chatham Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111006000399 | NC | Practitioner - Cardiovascular Disease (Cardiology) | 7315119781 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011-00782 | NC | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current |
Accepting new patients |
Locations
329 NC Highway 801 N
Bermuda Run, NC 27006
Phone (336) 716-8200
14 Medical Park Dr
Lexington, NC 27292
Phone (336) 238-4077
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- svasu2754424@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2011-00782 | NC | Yes |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-0001
Mailing address
PO Box 602658
Charlotte, NC 28260-2658
Phone (336) 716-2255
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5918153 | Medicaid | NC |
Other providers in Winston Salem, NC
- Michael John Varney
- Christopher Andrew Vasil
- Desmond Vasquez
- Marysabel Vasquez
- Garrett Anderson Vass
- Mihaela Alina Vatca
- David Michael Vaughan
- Elizabeth Vaughan
- Stephanie Vaughan
- Margaret Elizabeth Vaughn
All providers in Winston Salem, NC · Cardiovascular Disease Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.