Ashton Vishnu Molai, D.O

Individual provider Active NPI Family Medicine Physician · North Wilkesboro, NC

NPI 1528091758 · NPPES record last updated Jan 8, 2015

Key facts

NPI
1528091758
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
200000552 (NC)
Practice address
200 W Park Cir
Suite B
North Wilkesboro, NC 28659-3582
Phone
(336) 838-4181
Fax
(336) 838-4185
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 17

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 9

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

Medicare Care Compare profile

Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest University Health Sciences (2,633 clinicians)

Practice addresses (Care Compare)

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

  • Wake Forest Baptist Health Care at Home, LLC Home health agency · Wilkesboro, NC · CCN 347043
  • North Carolina Baptist Hospital Hospital · Winston-Salem, NC · CCN 340047
  • Wilkes Regional Medical Center Hospital · North Wilkesboro, NC · CCN 340064
  • Hugh Chatham Memorial Hospital Hospital · Elkin, NC · CCN 340097

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20031222000657 NC Practitioner - Family Practice 8123925062 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences Current
since Oct 8, 2014
Accepting new patients
Family Medicine, PLLC Family Medicine Current
since Jul 12, 2013
Accepting new patients

Locations

200 W Park Cir
Ste B
North Wilkesboro, NC 28659
Phone (336) 838-4181

1370 W D St
North Wilkesboro, NC 28659
Phone (336) 651-8100

1201 School St
Ste E
Wilkesboro, NC 28697
Phone (336) 667-1140

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200000552 NC Yes

Addresses

Primary practice location

200 W Park Cir
Suite B
North Wilkesboro, NC 28659-3582

Mailing address

200 W Park Cir
Suite B
North Wilkesboro, NC 28659-3582
Phone (336) 716-2011

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 8, 2015.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1528091758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W PARK CIR",
            "address_2": "SUITE B",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593582",
            "telephone_number": "336-716-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W PARK CIR",
            "address_2": "SUITE B",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593582",
            "telephone_number": "336-838-4181",
            "fax_number": "336-838-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLAI",
        "first_name": "ASHTON",
        "middle_name": "VISHNU",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200000552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

All providers in North Wilkesboro, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.