Individual provider Active NPI

Amit Paul Jangam, DO

  • Family Medicine Physician
  • Cary, NC
National Provider Identifier
1447749288
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2021-02196 Issued in NC
Practice address
400 Ashville Ave Ste 330
Cary, NC 27518-6134
Phone
(919) 371-2371
Fax
(919) 371-2375
NPI assigned
May 7, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 2021-02196 NC
Family Medicine Physician 207Q00000X 2021-02196 NC Primary

Addresses

Primary practice location

400 Ashville Ave Ste 330
Cary, NC 27518-6134

Mailing address

2001 W 68TH St
Hialeah, FL 33016-1801
Phone (305) 823-5000

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
I20220820000015 NC Practitioner - Family Practice 6507249752 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Life Health of Cary PLLCGroup PAC ID 1355878190, 5 clinicians

Practice addresses (Care Compare)

1414 Yanceyville St
Suite 200
Greensboro, NC 27405-6947
Phone (213) 622-6010

400 Ashville Ave
Suite 330
Cary, NC 27518-6134
Phone (919) 371-2371

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Active Life Health of Cary PLLC CurrentSince Aug 1, 2024 Accepting new patients
Active Life Health of Greensboro PLLC CurrentSince Aug 1, 2024 Accepting new patients
Flexogenix North Carolina, PC CurrentSince Aug 3, 2022 Accepting new patients
Active Life Health of Cary PLLC CurrentSince Aug 1, 2024 Accepting new patients
Active Life Health of Greensboro PLLC CurrentSince Aug 1, 2024 Accepting new patients
Flexogenix North Carolina PC Current Accepting new patients

Locations

7422 Garvey Ave
Unit 203
Rosemead, CA 91770

400 Ashville Ave
Ste 300
Cary, NC 27518
Phone (919) 233-2020

400 Ashville Ave
Ste 330
Cary, NC 27518
Phone (919) 371-2371

8401 Medical Plaza Dr
Ste 355
Charlotte, NC 28262
Phone (704) 272-3884

1414 Yanceyville St
Ste 200
Greensboro, NC 27405
Phone (336) 429-5993

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1447749288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161801",
            "telephone_number": "305-823-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ASHVILLE AVE STE 330",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186134",
            "telephone_number": "919-371-2371",
            "fax_number": "919-371-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANGAM",
        "first_name": "AMIT",
        "middle_name": "PAUL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-07",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NC",
            "license": "2021-02196",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2021-02196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.