Active NPI
Flexogenix North Carolina PC
- Diagnostic Radiology Physician
- Cary, NC
National Provider Identifier
1306202296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- FLEXOGENIX NORTH CAROLINA PC
- Practice address
- 400 Ashville Ave
Suite 330
Cary, NC 27518-6134 - Phone
- (919) 371-2371
- Fax
- (919) 851-1518
- NPI assigned
- Jan 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Nabeel Mogannam, M.D
- Title
- Owner
- Phone
- (213) 455-7803
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
400 Ashville Ave
Suite 330
Cary, NC 27518-6134
Mailing address
1000 S Hope St
Suite 330
Los Angeles, CA 90015-1491
Phone (213) 455-7803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150915001750 | NC | Part B Supplier - Clinic/Group Practice | 9638486251 |
Receives reassigned benefits from 6 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cary, NC; Charlotte, NC; Greensboro, NC |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1366826299
O20150915001750
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1235592874
O20150915001750
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472774400000",
"number": "1306202296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S HOPE ST",
"address_2": "SUITE 330",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900151491",
"telephone_number": "213-455-7803",
"fax_number": "213-622-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 ASHVILLE AVE",
"address_2": "SUITE 330",
"city": "CARY",
"state": "NC",
"postal_code": "275186134",
"telephone_number": "919-371-2371",
"fax_number": "919-851-1518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLEXOGENIX NORTH CAROLINA PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-07",
"last_updated": "2016-09-02",
"status": "A",
"authorized_official_last_name": "MOGANNAM",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "NABEEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "213-455-7803",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 2, 2016; 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.