Active NPI
Hirsh Sandesara
- Emergency Medicine Physician
- Cary, NC
National Provider Identifier
1386987394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2016-01076
- Practice address
- 210 Towne Village Dr
Cary, NC 27513-8910 - Phone
- (919) 859-3373
- NPI assigned
- Mar 28, 2013
- Last updated
- May 31, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2016-01076 | NC | Primary |
Addresses
Primary practice location
210 Towne Village Dr
Cary, NC 27513-8910
Mailing address
210 Towne Village Dr
Cary, NC 27513-8910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016-01076 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Emergency Physicians PA | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1386987394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 TOWNE VILLAGE DR",
"city": "CARY",
"state": "NC",
"postal_code": "275138910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 TOWNE VILLAGE DR",
"city": "CARY",
"state": "NC",
"postal_code": "275138910",
"telephone_number": "919-859-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDESARA",
"first_name": "HIRSH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-28",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2016-01076",
"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 May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.