Active NPI
Adam Troy Kansagor, D.O.
- Obstetrics & Gynecology Physician
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2013-00633
- Practice address
- 210 Ashville Ave
Cary, NC 27518-6676 - Phone
- (919) 235-6460
- NPI assigned
- Aug 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 2013-00633 | NC | |
| Obstetrics Physician | 207VX0000X | 2013-00633 | NC | |
| Obstetrics & Gynecology Physician | 207V00000X | 2013-00633 | NC | Primary |
Addresses
Primary practice location
210 Ashville Ave
Cary, NC 27518-6676
Mailing address
PO Box 603949
Charlotte, NC 28260-3949
Phone (919) 350-0351
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1791E | Other | NC | BCBSNC |
| 1306077474 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Ashville Ave
Cary, NC 27518-6676
Phone (919) 350-2800
Hospital & facility affiliations
- Wakemed, Raleigh Campus
- Wakemed, Cary Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-00633 | NC | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Wakemed Specialists Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
210 Ashville Ave
Cary, NC 27518
Phone (919) 235-6460
1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300
204 Medspring Dr
Clayton, NC 27520
Phone (910) 775-3130
101 Cotten Ln
Holly Springs, NC 27540
Phone (919) 235-6456
6102 Grace Park Dr
Morrisville, NC 27560
Phone (919) 235-6405
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380
3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318
8001 T W Alexander Dr
Raleigh, NC 27617
Phone (919) 350-0953
1030 Siena Dr
Wake Forest, NC 27587
Phone (919) 235-6511
Interoperability endpoints
- akansagor410383@directhisp.wakemed.org
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1588227839
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Raleigh, NC
- NPI 1063076453
-
- Cardiac Rehabilitation Registered Nurse
- Raleigh, NC
- NPI 1063304228
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cary, NC
- NPI 1114993086
-
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1972579837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1306077474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603949",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603949",
"telephone_number": "919-350-0351",
"fax_number": "919-350-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 ASHVILLE AVE",
"city": "CARY",
"state": "NC",
"postal_code": "275186676",
"telephone_number": "919-235-6460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANSAGOR",
"first_name": "ADAM",
"middle_name": "TROY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-06",
"last_updated": "2022-05-26",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NC",
"license": "2013-00633",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NC",
"license": "2013-00633",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "2013-00633",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "1791E",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306077474",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.