Organization Active NPI

Flexogenix North Carolina PC

  • Diagnostic Radiology Physician
  • Cary, NC
National Provider Identifier
1306202296
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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

Updated by the provider on Sep 2, 2016

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.