Active NPI
Sujatha Sajeevan, M.D.
- Family Medicine Physician
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01871
- Practice address
- 519 Keisler Dr Ste 104
Cary, NC 27518-7098 - Phone
- (919) 233-8183
- Fax
- (919) 400-4365
- NPI assigned
- Aug 17, 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 | 01871 | NC | Primary |
Addresses
Primary practice location
519 Keisler Dr Ste 104
Cary, NC 27518-7098
Mailing address
519 Keisler Dr Ste 104
Cary, NC 27518-7098
Phone (919) 233-8183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5914227 | 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
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
1135 Carthage St
Sanford, NC 27330-4162
Phone (919) 774-2100
2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600
519 Keisler Dr
Suite 104
Cary, NC 27518-7098
Phone (919) 233-8183
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients | |
| Spectrum Family Medicine PLLC | Family Medicine | Current | Accepting new patients |
| Community Family Medicine and Obstetrics, P.a. | Family Medicine | Past | Accepting new patients |
| Wake OBGYN P.a. | Past | Accepting new patients |
Locations
519 Keisler Dr
Ste 104
Cary, NC 27518
Phone (919) 233-8183
288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000
1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100
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.
-
- Family Medicine Physician
- Cary, NC
- NPI 1982131843
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
NC
-
- Family Medicine Physician
- Sanford, NC
- NPI 1720094543
-
- Obstetrics & Gynecology Physician
- Cary, NC
- NPI 1366572091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1447442983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 KEISLER DR STE 104",
"city": "CARY",
"state": "NC",
"postal_code": "275187098",
"telephone_number": "919-233-8183",
"fax_number": "919-400-4365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 KEISLER DR STE 104",
"city": "CARY",
"state": "NC",
"postal_code": "275187098",
"telephone_number": "919-233-8183",
"fax_number": "919-400-4365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAJEEVAN",
"first_name": "SUJATHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "01871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5914227",
"state": "NC"
}
],
"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 Jun 4, 2021; 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.