NPIMap

Individual provider Active NPI

Mehar Srivani Reddy Ambati, MD

  • Cardiovascular Disease Physician
  • Apex, NC
National Provider Identifier
1295764355
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
200400448 Issued in NC
Practice address
1071 Pemberton Hill Rd
Suite 102
Apex, NC 27502-4268
Phone
(919) 363-6060
Fax
(919) 363-6040
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 200400448 NC Primary

Addresses

Primary practice location

1071 Pemberton Hill Rd
Suite 102
Apex, NC 27502-4268

Mailing address

PO Box 1810
Apex, NC 27502-2810
Phone (919) 363-6060

Other identifiers 5

IdentifierTypeStateIssuer
P00301271OtherNCPALMETTO GOVT SERV PROV#
FH2967220OtherNCFIRSTCAROLINACARE
5902911MedicaidNC
207646OtherNCMEDCOST
141JMOtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060404000709 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5991713810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1071 Pemberton Hill Rd
Suite 102
Apex, NC 27502-4268
Phone (919) 363-6060

Hospital & facility affiliations

  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069
  • Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173
  • Duke University Hospital Hospital, Durham, NC, CCN 340030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200400448NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed CurrentSince Jan 1, 2011 Accepting new patients
Wakemed CurrentSince Jan 1, 2011 Accepting new patients
Peak Cardiology, P.a Cardiovascular Disease CurrentSince Aug 1, 2008 Accepting new patients
Sanford Cardiology, PLLC PastSince Aug 1, 2004 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients
Pinehurst Medical Clinic, Inc. Cardiovascular Disease Past Accepting new patients
Rex Hospital, Inc. Past Accepting new patients

Locations

1071 Pemberton Hill Rd
Ste 102
Apex, NC 27502
Phone (919) 363-6060

320 N Judd Pkwy NE
Ste 205
Fuquay Varina, NC 27526
Phone (919) 346-8515

400 US 70 Hwy E
Garner, NC 27529
Phone (919) 235-6400

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHFHBD/Endpoint/AHFHBD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1295764355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275022810",
            "telephone_number": "919-363-6060",
            "fax_number": "919-363-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 PEMBERTON HILL RD",
            "address_2": "SUITE 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024268",
            "telephone_number": "919-363-6060",
            "fax_number": "919-363-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBATI",
        "first_name": "MEHAR SRIVANI",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "200400448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GOVT SERV PROV#",
            "identifier": "P00301271",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCAROLINACARE",
            "identifier": "FH2967220",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902911",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "207646",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "141JM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.