Individual provider Active NPI

Rahul Sampath, M.D

  • Infectious Disease Physician
  • Morganton, NC
National Provider Identifier
1386964468
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2015-02323 Issued in NC
Practice address
111 Foothills Dr Ste B
Morganton, NC 28655-5123
Phone
(828) 580-5705
Fax
(828) 580-8033
NPI assigned
Jun 11, 2010
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10038074 TX
Infectious Disease Physician 207RI0200X 57073 MN
Infectious Disease Physician 207RI0200X 106885 MN
Infectious Disease Physician 207RI0200X 2015-02323 NC Primary

Addresses

Primary practice location

111 Foothills Dr Ste B
Morganton, NC 28655-5123

Mailing address

111 Foothills Dr Ste B
Morganton, NC 28655-5123
Phone (828) 580-5705

Other practice location 1

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 2

2201 S Sterling St
Morganton, NC 28655-4044
Phone (828) 580-6753

Other identifiers 1

IdentifierTypeStateIssuer
1386964468MedicaidNC

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
I20160913001316 NC Practitioner - Infectious DiseasePractitioner - Internal Medicine 2668607086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

117 Foothills Dr
Morganton, NC 28655-5152
Phone (828) 580-2700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10038074TXMDInternal Medicine Physician
106885MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Blue Ridge Healthcare Medical Group Inc CurrentSince Aug 1, 2016 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients

Locations

111 Foothills Dr
Ste B
Morganton, NC 28655
Phone (828) 437-8158

117 Foothills Dr
Morganton, NC 28655
Phone (828) 580-2700

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

Interoperability endpoints

  • Direct secure messaging: rsampath292394@direct.unc.nchie.net

Organizations & group practices 4

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

Hospital & facility affiliations 4

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": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1386964468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FOOTHILLS DR STE B",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555123",
            "telephone_number": "828-580-5705",
            "fax_number": "828-580-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FOOTHILLS DR STE B",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555123",
            "telephone_number": "828-580-5705",
            "fax_number": "828-580-8033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 S Sterling St",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554044",
            "country_code": "US",
            "telephone_number": "828-580-6753",
            "fax_number": "828-580-6759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPATH",
        "first_name": "RAHUL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10038074",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MN",
            "license": "57073",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MN",
            "license": "106885",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "2015-02323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386964468",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.