Active NPI
Ranjan Simon Maitra, MD
- Orthopaedic Surgery Physician
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2000-00882
- Practice address
- 706 Summit Crossing PL
Gastonia, NC 28054-2175 - Phone
- (704) 323-2000
- NPI assigned
- Nov 17, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 2000-00882 | NC | |
| Orthopaedic Surgery Physician | 207X00000X | 2000-00882 | NC | Primary |
Addresses
Primary practice location
706 Summit Crossing PL
Gastonia, NC 28054-2175
Mailing address
4601 Park Rd
Ste 300
Charlotte, NC 28209-3239
Phone (704) 323-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N00882 | Medicaid | SC | |
| 891279E | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100521000610 | NC | Practitioner - Orthopedic Surgery | 5890739403 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Michigan Medical School, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Proactive Therapy of North Carolina IncSelect Physical Therapy Holdings Inc
Practice addresses (Care Compare)
101 Delta Park Dr
Shelby, NC 28150-3575
Phone (704) 484-0606
1915 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 323-2282
20 W Medical CT
Marion, NC 28752-4968
Phone (828) 659-8049
2001 Randolph Rd
Charlotte, NC 28207-1215
Phone (704) 332-2225
2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800
7482 Waterside Crossing Blvd
Suite 103
Denver, NC 28037-3006
Phone (704) 827-0598
870 Summit Crossing PL
Gastonia, NC 28054-2192
Phone (704) 867-2333
Hospital & facility affiliations
- Caromont Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 12 |
| Knee replacement | 37 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000-00882 | NC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocarolina, PA | Current | Accepting new patients | |
| Caromont Partners LLC | Current | Accepting new patients | |
| Orthocarolina | Orthopaedic Surgery | Current | Accepting new patients |
| Orthocarolina | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000
4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090
870 Summit Crossing Pl
Gastonia, NC 28054
Phone (704) 671-1860
Organizations & group practices 5
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.
-
- Physical Therapist
- Gastonia, NC
- NPI 1407932775
-
- Ambulatory Surgical Clinic/Center
- Belmont, NC
- NPI 1902525645
-
- Physician Assistant
- Jefferson, NC
- NPI 1619217551
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273622400000",
"number": "1477535292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 PARK RD",
"address_2": "STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093239",
"telephone_number": "704-323-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 SUMMIT CROSSING PL",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542175",
"telephone_number": "704-323-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAITRA",
"first_name": "RANJAN",
"middle_name": "SIMON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2010-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NC",
"license": "2000-00882",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "2000-00882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N00882",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891279E",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.