Individual provider Active NPI

Ashwin Patkar, M.D.

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1376627265
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2004-000396 Issued in NC
Practice address
7850 Brier Creek Pkwy Ste 102
Raleigh, NC 27617-8900
Phone
(919) 748-4878
Fax
(919) 748-4876
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2004-000396 NC Primary

Addresses

Primary practice location

7850 Brier Creek Pkwy Ste 102
Raleigh, NC 27617-8900

Mailing address

313 Belles Landing CT
Cary, NC 27519-9797
Phone (215) 292-5183

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110000065 NC Practitioner - PsychiatryPractitioner - Addiction Medicine 1951364066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avance Care PAGroup PAC ID 3577634476, 244 clinicians

Practice addresses (Care Compare)

815 Oberlin Rd
Suite 200
Raleigh, NC 27605-1351
Phone (919) 655-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004-000396NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avance Care, PA CurrentSince Jun 1, 2020 Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

815 Oberlin Rd
Ste 200
Raleigh, NC 27605
Phone (919) 322-4722

7850 Brier Creek Pkwy
Ste 102
Raleigh, NC 27617
Phone (919) 748-4878

7510 Ramble Way
Ste 107
Raleigh, NC 27616
Phone (919) 277-8880

7850 Brier Creek Pkwy
Ste 100
Raleigh, NC 27617
Phone (919) 237-1337

10900 World Trade Blvd
Raleigh, NC 27617
Phone (919) 237-1337

Interoperability endpoints

  • Direct secure messaging: apatkar34577@fastmed.direct-ci.com
  • Direct secure messaging: apatkar63457@direct.medicine.duke.edu

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1376627265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 BELLES LANDING CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199797",
            "telephone_number": "215-292-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 BRIER CREEK PKWY STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178900",
            "telephone_number": "919-748-4878",
            "fax_number": "919-748-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATKAR",
        "first_name": "ASHWIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2004-000396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.