Active NPI
Vaishali Rahul Nadkarni, M.D.
- Family Medicine Physician
- Sanford, NC
National Provider Identifier
1417147653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2009-01461
- Practice address
- 555 Carthage St
Sanford, NC 27330-4104 - Phone
- (919) 774-6518
- Fax
- (919) 774-1831
- NPI assigned
- Jul 25, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2009-01461 | NC | Primary |
Addresses
Primary practice location
555 Carthage St
Sanford, NC 27330-4104
Mailing address
205 Page Rd
Pinehurst, NC 28374-8798
Phone (919) 774-6518
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FH1100880 | Other | NC | FIRSTCAROLINACARE |
| 154M3 | Other | NC | BC/BS NC |
| 5914546 | Medicaid | NC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
555 Carthage St
Sanford, NC 27330-4104
Phone (919) 774-6518
Hospital & facility affiliations
- Liberty Home Care
- Amedisys Home Health of Chapel Hill
- Central Carolina Hospital
- Firsthealth Moore Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinehurst Medical Clinic, Inc. | Current | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Family Medicine | Current | Accepting new patients |
| Pinehurst Medical Clinic, Inc. | Past | Accepting new patients |
Locations
8 Regional Cir
Pinehurst, NC 28374
Phone (910) 215-5555
205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211
555 Carthage St
Sanford, NC 27330
Phone (919) 774-6518
1411 Greenway Ct
Sanford, NC 27330
Phone (919) 292-1878
Interoperability endpoints
- vaishalinadkarni@phmc.allscriptsdirect.net
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.
-
- Internal Medicine Physician
- Pinehurst, NC
- NPI 1255388369
Family Medicine
-
- Ambulatory Surgical Clinic/Center
- Pinehurst, NC
- NPI 1356421853
-
- Clinical Medical Laboratory
- Southern Pines, NC
- NPI 1962509372
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Chapel Hill, NC
- NPI 1326096074
-
- General Acute Care Hospital
- Sanford, NC
- NPI 1902836943
-
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
-
- Home Health Agency
- Sanford, NC
- NPI 1699721324
-
- Home Health Agency
- Siler City, NC
- NPI 1982659215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520985600000",
"number": "1417147653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PAGE RD",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748798",
"telephone_number": "919-774-6518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 CARTHAGE ST",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304104",
"telephone_number": "919-774-6518",
"fax_number": "919-774-1831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADKARNI",
"first_name": "VAISHALI",
"middle_name": "RAHUL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-25",
"last_updated": "2018-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2009-01461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCAROLINACARE",
"identifier": "FH1100880",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS NC",
"identifier": "154M3",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5914546",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.