Individual provider Active NPI

Ellen Cowherd Ghodke, MD

  • Pediatrics Physician
  • Cary, NC
National Provider Identifier
1639790900
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
202304551 Issued in NC
Practice address
97 Cornerstone Dr
Cary, NC 27519-8403
Phone
(919) 460-0993
Fax
(919) 481-3952
NPI assigned
Apr 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 202304551 NC Primary

Addresses

Primary practice location

97 Cornerstone Dr
Cary, NC 27519-8403

Mailing address

PO Box 96860
Charlotte, NC 28296-6860
Phone (919) 460-0993

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
I20231003001968 NC Practitioner - Pediatric Medicine 1052734001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202304551NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Durham Medical Group PA Pediatrics Current Accepting new patients
Sandhills Pediatrics Pediatrics Past Accepting new patients

Locations

97 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-0993

Interoperability endpoints

  • Direct secure messaging: ellenghodke@cstp.allscriptsdirect.net
  • Direct secure messaging: ecowherd230709@directhisp.wakemed.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1639790900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96860",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282966860",
            "telephone_number": "919-460-0993",
            "fax_number": "919-481-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 CORNERSTONE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198403",
            "telephone_number": "919-460-0993",
            "fax_number": "919-481-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHODKE",
        "first_name": "ELLEN",
        "middle_name": "COWHERD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "202304551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.