NPIMap

Individual provider Active NPI

Surajit Chaudhuri, MD

  • Hematology & Oncology Physician
  • Fayetteville, NC
National Provider Identifier
1497727879
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
9400218 Issued in NC
Practice address
1205 Cape CT
Suite B
Fayetteville, NC 28304-4404
Phone
(910) 483-8361
Fax
(910) 483-8361
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 9400218 NC Primary

Addresses

Primary practice location

1205 Cape CT
Suite B
Fayetteville, NC 28304-4404

Mailing address

PO Box 42907
Fayetteville, NC 28309-2907
Phone (910) 483-8361

Other identifiers 2

IdentifierTypeStateIssuer
8922136MedicaidNC
0207MOtherNCBCBS OF NORTH CAROLINA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080519000572 NC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6103995022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1205 Cape Court Set B
Fayetteville, NC 28304-4404
Phone (910) 483-8361

Hospital & facility affiliations

  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028
  • Highsmith Rainey Memorial Hospital Long-term care hospital, Fayetteville, NC, CCN 342014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9400218NCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surajit Chaudhuri MD PA Hematology & Oncology CurrentSince Aug 1, 1994 Accepting new patients

Locations

1205 Cape Ct
#B
Fayetteville, NC 28304
Phone (910) 483-8361

Organizations & group practices 1

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1497727879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42907",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283092907",
            "telephone_number": "910-483-8361",
            "fax_number": "910-485-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 CAPE CT",
            "address_2": "SUITE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044404",
            "telephone_number": "910-483-8361",
            "fax_number": "910-483-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHURI",
        "first_name": "SURAJIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "9400218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8922136",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NORTH CAROLINA",
            "identifier": "0207M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.