Individual provider Active NPI

Narender D Arcot, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Jacksonville, NC
National Provider Identifier
1417065236
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
200100829 Issued in NC
Practice address
31 Office Park Dr
Jacksonville, NC 28546-3219
Phone
(910) 346-5016
Fax
(910) 346-4561
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 200100829 NC Primary

Addresses

Primary practice location

31 Office Park Dr
Jacksonville, NC 28546-3219

Mailing address

203 Stagecoach Dr
Jacksonville, NC 28546-9617
Phone (910) 355-6696

Other identifiers 1

IdentifierTypeStateIssuer
1417065236MedicaidNC

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
I20051116000371 NC Practitioner - Family PracticePractitioner - Geriatric Medicine 1850310160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians
Onslow Ambulatory Services IncGroup PAC ID 4587569256, 18 clinicians

Practice addresses (Care Compare)

2303 Wellington Dr SW
Suite B
Wilson, NC 27893-8620
Phone (252) 243-6818

31 Office Park Dr
Jacksonville, NC 28546-3219
Phone (910) 346-5016

Hospital & facility affiliations

  • Well Care Home Health Home health agency, Wilmington, NC, CCN 347002
  • Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as group
Quality
90.05
Promoting interoperability
100
Improvement activities
40
Cost
75.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200100829NCMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Onslow Ambulatory Services, Inc. Current Accepting new patients
Onslow Ambulatory Services, Inc. CurrentSince Feb 27, 2017 Accepting new patients
Onslow Ambulatory Services, Inc CurrentSince Feb 27, 2017 Accepting new patients

Locations

31 Office Park Dr
Jacksonville, NC 28546
Phone (910) 219-1713

241 New River Dr
Jacksonville, NC 28540
Phone (910) 430-4152

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1417065236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 STAGECOACH DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285469617",
            "telephone_number": "910-355-6696",
            "fax_number": "910-355-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285463219",
            "telephone_number": "910-346-5016",
            "fax_number": "910-346-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCOT",
        "first_name": "NARENDER",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "200100829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417065236",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.