Nithin Bhagwandass, MD
Individual provider Active NPI Hospitalist Physician · Holly Springs, NC
NPI 1609296185 · NPPES record last updated Aug 7, 2022
Key facts
- NPI
- 1609296185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 2022-00041 (NC)
- Practice address
- 850 S Main St
Holly Springs, NC 27540-8906 - Phone
- (919) 784-7093
- NPI assigned
- Apr 23, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Brody School of Medicine at East Carolina University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Carolina MG LLC
Practice addresses (Care Compare)
4420 Lake Boone TRL
Raleigh, NC 27607-7505
Phone (984) 215-4000
Hospital & facility affiliations
- Rex Hospital
- Unc Hospitals
- Duke University Hospital
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220805002578 | NC | Practitioner - Hospitalist |
3173883188 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022-00041 | NC | MD | Internal Medicine Physician |
| R3637 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina MG, LLC | Hospitalist | Current |
Accepting new patients |
Locations
850 S Main St
Holly Springs, NC 27540
Phone (919) 784-7093
5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
Interoperability endpoints
- nbhagwandass874111@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 2022-00041 | NC | Yes |
| Internal Medicine Physician | 207R00000X | R3637 | TX | |
| Internal Medicine Physician | 207R00000X | 2022-00041 | NC |
Addresses
Primary practice location
850 S Main St
Holly Springs, NC 27540-8906
Mailing address
593 Pat Cruz
El Paso, TX 79932-4107
Phone (409) 392-4065
Other practice location 1
1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 747-4000
Other practice location 2
1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 747-4000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nbhagwandass874111@direct.UNC.nchie.net | Direct |
Other providers in Holly Springs, NC
- Alana Ann Bergeron
- Larry Bernstein
- Colby Bessette
- Sharon Childress Best
- Beyond Limits Learning, Inc.
- Vishwa Bhargav Bhalodia
- Hiteshri Suresh Bhavsar
- Beatriz Aponte Bidgood
- Jacqueline Biehl
- Sarah Constance Billiar
All providers in Holly Springs, NC · Hospitalist Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.