Individual provider Active NPI

Nilesh Digvijay Kashikar, MD PHD

  • Anatomic Pathology Physician
  • Greensboro, NC
National Provider Identifier
1669799276
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
2018-02835 Issued in NC
Practice address
706 Green Valley Rd Ste 104
Greensboro, NC 27408-7043
Phone
(336) 387-2500
Fax
(336) 387-2501
NPI assigned
Apr 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 2018-02835 NC Primary

Addresses

Primary practice location

706 Green Valley Rd Ste 104
Greensboro, NC 27408-7043

Mailing address

11025 Rca Center Dr Ste 300
Palm Beach Gardens, FL 33410-4269
Phone (336) 387-2566

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
I20190124001407 NC Practitioner - Pathology 8123245909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greensboro Pathology, LLCGroup PAC ID 1153315643, 18 clinicians

Practice addresses (Care Compare)

706 Green Valley Rd
Suite 104
Greensboro, NC 27408-7043
Phone (336) 387-2500

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091
  • Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003
  • Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070
  • Randolph Hospital Hospital, Asheboro, NC, CCN 340123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-02835NCMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Pathology, LLC CurrentSince Dec 1, 2018 Accepting new patients
Greensboro Pathology, LLC CurrentSince Dec 1, 2018 Accepting new patients
Mid-Atlantic Pathology Services, Inc. Anatomic Pathology & Clinical Pathology Current Accepting new patients
Biopsy Diagnostics, LLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

11025 Rca Center Dr
Ste 300
Palm Beach Gardens, FL 33410
Phone (561) 383-3820

706 Green Valley Rd
Ste 104
Greensboro, NC 27408
Phone (336) 271-4930

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

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 4

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": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1669799276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 RCA CENTER DR STE 300",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104269",
            "telephone_number": "336-387-2566",
            "fax_number": "844-751-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 GREEN VALLEY RD STE 104",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087043",
            "telephone_number": "336-387-2500",
            "fax_number": "336-387-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHIKAR",
        "first_name": "NILESH",
        "middle_name": "DIGVIJAY",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NC",
            "license": "2018-02835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.