Active NPI
Kiran K Jagarlamudi, M.D.
- Gastroenterology Physician
- Salisbury, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2007-00803
- Practice address
- 1809 Brenner Ave
Suite 102
Salisbury, NC 28144-2558 - Phone
- (704) 633-7220
- Fax
- (704) 647-0515
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 2007-00803 | NC | Primary |
Addresses
Primary practice location
1809 Brenner Ave
Suite 102
Salisbury, NC 28144-2558
Mailing address
611 Mocksville Ave
Salisbury, NC 28144-2705
Phone (704) 633-7220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59-06943 | Medicaid | NC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
611 Mocksville Ave
Salisbury, NC 28144-2705
Phone (704) 633-7220
Hospital & facility affiliations
- Novant Health Rowan Medical Center
- Duke Health Lake Norman Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 269 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 143 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rowan Diagnostic Clinic, PA | Gastroenterology | Current | Accepting new patients |
| Rowan Endoscopy Center, PLLC | Gastroenterology | Current | Accepting new patients |
| Rowan Diagnostic Clinic P.a. | Current | Accepting new patients | |
| Rowan Diagnostic Clinic P.a. | Internal Medicine | Current | Accepting new patients |
| St. Joseph'S Healthcare, Inc. | Internal Medicine | Past | Accepting new patients |
| House Physician Partners, PC | Past | Accepting new patients |
Locations
1809 Brenner Ave
Ste 102
Salisbury, NC 28144
Phone (704) 216-7071
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
611 Mocksville Ave
Salisbury, NC 28144
Phone 7046337220269
1809 Brenner Ave
Salisbury, NC 28144
Interoperability endpoints
- kiran.jagarlamudi@rowandiagnostic.eclinicaldirectplus.com
- kiran.jagarlamudi.1@33601.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Salisbury, NC
- NPI 1477582120
-
- Ambulatory Surgical Clinic/Center
- Salisbury, NC
- NPI 1528625399
Gastroenterology
-
- Allergy & Immunology Physician
- Salisbury, NC
- NPI 1346036431
-
- Gastroenterology Physician
- Salisbury, NC
- NPI 1598297806
-
- Hospitalist Physician
- Teaneck, NJ
- NPI 1457377806
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mooresville, NC
- NPI 1114731064
-
- General Acute Care Hospital
- Salisbury, NC
- NPI 1508843566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1689636433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 MOCKSVILLE AVE",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442705",
"telephone_number": "704-633-7220",
"fax_number": "704-647-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 BRENNER AVE",
"address_2": "SUITE 102",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442558",
"telephone_number": "704-633-7220",
"fax_number": "704-647-0515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAGARLAMUDI",
"first_name": "KIRAN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "2007-00803",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "59-06943",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.