NPIMap

Individual provider Active NPI

Thejaswini Kempananjappa Kaggere, MD

  • Nephrology Physician
  • Goldsboro, NC
National Provider Identifier
1659532992
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
201000488 Issued in NC
Practice address
2809 McLamb PL
Goldsboro, NC 27534-1647
Phone
(919) 580-9840
Fax
(919) 580-9838
NPI assigned
Jun 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 201000488 NC Primary

Addresses

Primary practice location

2809 McLamb PL
Goldsboro, NC 27534-1647

Mailing address

2809 McLamb PL
Goldsboro, NC 27534-1647
Phone (919) 580-9840

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
I20100715000987 NC Practitioner - NephrologyPractitioner - Internal Medicine 9739211467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Nephrology Associates PLLCGroup PAC ID 2264420512, 75 clinicians

Practice addresses (Care Compare)

2400 Wayne Memorial Dr
Suite E
Goldsboro, NC 27534-1750
Phone (252) 823-8513

Hospital & facility affiliations

  • DaVita Coastal Plain Dialysis Dialysis facility, Goldsboro, NC, CCN 342723
  • DaVita Goldsboro Dialysis Dialysis facility, Goldsboro, NC, CCN 342531
  • FMC Bma of Clinton Inc Dialysis facility, Clinton, NC, CCN 342559
  • DaVita Mt Olive Dialysis Dialysis facility, Mount Olive, NC, CCN 342573
  • FMC Roseboro Dialysis Dialysis facility, Roseboro, NC, CCN 342688
  • Unc Health Care Wayne Hospital, Goldsboro, NC, CCN 340010
  • Sampson Regional Medical Center Hospital, Clinton, NC, CCN 340024
  • Unc Lenoir Health Care Hospital, Kinston, NC, CCN 340027
  • Vidant Duplin Hospital Hospital, Kenansville, NC, CCN 340120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201000488NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Memorial Hospital Inc CurrentSince Sep 14, 2010 Accepting new patients
Wayne Memorial Hospital Inc CurrentSince Sep 14, 2010 Accepting new patients
Eastern Nephrology Associates PLLC Nephrology CurrentSince Apr 17, 2023 Accepting new patients

Locations

1021 Beaman St
Clinton, NC 28328
Phone (910) 590-3569

2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060

2400 Wayne Memorial Dr
Ste E
Goldsboro, NC 27534
Phone (919) 580-9840

2809 McLamb Pl
Goldsboro, NC 27534
Phone (919) 580-9840

511 Paladin Dr
Greenville, NC 27834
Phone (252) 317-2280

Interoperability endpoints

  • Direct secure messaging: tkaggere51902@direct.acumenmd.com

Organizations & group practices 3

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 10

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1659532992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 MCLAMB PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341647",
            "telephone_number": "919-580-9840",
            "fax_number": "919-580-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 MCLAMB PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341647",
            "telephone_number": "919-580-9840",
            "fax_number": "919-580-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGGERE",
        "first_name": "THEJASWINI",
        "middle_name": "KEMPANANJAPPA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "201000488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.