NPIMap

Individual provider Active NPI

Sasan Araghi, M.D.

  • Family Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1528069762
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200400794 Issued in NC
Practice address
116 Country Club Dr
Fayetteville, NC 28301-7604
Phone
(910) 488-0157
Fax
(910) 488-0293
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200400794 NC Primary

Addresses

Primary practice location

116 Country Club Dr
Fayetteville, NC 28301-7604

Mailing address

116 Country Club Dr
Fayetteville, NC 28301-7604
Phone (910) 488-0157

Other identifiers 2

IdentifierTypeStateIssuer
194690OtherNCMEDCOST
89137X3MedicaidNC

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
I20041002000102 NC Practitioner - Family Practice 0143299404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwood Medical Center PAGroup PAC ID 5294803433, 2 clinicians

Practice addresses (Care Compare)

116 Country Club Dr
Fayetteville, NC 28301-7604
Phone (910) 488-0157

Hospital & facility affiliations

  • Amedisys Home Health of Fayetteville Home health agency, Fayetteville, NC, CCN 347132
  • 3HC Home health agency, Goldsboro, NC, CCN 347104
  • Bayada Home Health Care, Inc. Home health agency, Fayetteville, NC, CCN 347036
  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200400794NCMDFamily Medicine Physician

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1528069762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 COUNTRY CLUB DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283017604",
            "telephone_number": "910-488-0157",
            "fax_number": "910-488-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 COUNTRY CLUB DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283017604",
            "telephone_number": "910-488-0157",
            "fax_number": "910-488-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAGHI",
        "first_name": "SASAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200400794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "194690",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89137X3",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.