Individual provider Active NPI

Sravan Panuganti, D.O.

  • Urology Physician
  • Gastonia, NC
National Provider Identifier
1588045819
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2021-00288 Issued in NC
Practice address
631 Cox Rd
Gastonia, NC 28054-3438
Phone
(704) 864-7764
Fax
(704) 867-7894
NPI assigned
Jun 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X S3439 TX
Urology Physician 208800000X 2021-00288 NC Primary
Urology Physician 208800000X 208800000X NJ

Addresses

Primary practice location

631 Cox Rd
Gastonia, NC 28054-3438

Mailing address

631 Cox Rd
Gastonia, NC 28054-3438
Phone (704) 864-7764

Other practice location 1

6431 Fannin St.
MSB 6.018
Houston, TX 77007
Phone (713) 500-7337

Other practice location 2

1 Medical Center Dr
Suite 162
Stratford, NJ 08084-1500
Phone (856) 566-6875

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
I20210322002668 NC Practitioner - Urology 8729419494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Stone Institute of the Carolinas LLCGroup PAC ID 3173412533, 29 clinicians
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians
Carolina Urology Partners PLLCGroup PAC ID 8921280587, 37 clinicians

Practice addresses (Care Compare)

215 S Main St
Suite 201
Davidson, NC 28036-8039
Phone (704) 896-2120

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

631 Cox Rd
Gastonia, NC 28054-3438
Phone (704) 864-7764

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208800000XNJMDUrology Physician
S3439TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Urological Associates, P.a. Urology CurrentSince Apr 15, 2021 Accepting new patients
Stone Institute of the Carolinas LLC Urology CurrentSince Nov 2, 2021 Accepting new patients
Carolina Urology Partners PLLC Urology CurrentSince Apr 15, 2021 Accepting new patients

Locations

631 Cox Rd
Gastonia, NC 28054
Phone (704) 864-7764

9735 Kincey Ave
Ste 302
Huntersville, NC 28078
Phone (704) 414-2870

9735 Kincey Ave
Ste 201
Huntersville, NC 28078
Phone (704) 414-2865

Interoperability endpoints

  • Direct secure messaging: sravan.panuganti.p1@direct.cup.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1588045819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543438",
            "telephone_number": "704-864-7764",
            "fax_number": "704-867-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543438",
            "telephone_number": "704-864-7764",
            "fax_number": "704-867-7894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6431 Fannin St.",
            "address_2": "MSB 6.018",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77007",
            "country_code": "US",
            "telephone_number": "713-500-7337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_2": "Suite 162",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841500",
            "country_code": "US",
            "telephone_number": "856-566-6875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANUGANTI",
        "first_name": "SRAVAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "S3439",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2021-00288",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "208800000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.