Individual provider Active NPI

Kiran K Jagarlamudi, M.D.

  • Gastroenterology Physician
  • Salisbury, NC
National Provider Identifier
1689636433
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2007-00803 Issued in NC
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

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
59-06943MedicaidNC

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
I20070711000673 NC Practitioner - GastroenterologyPractitioner - Internal Medicine 6204807613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rowan Diagnostic Clinic PAGroup PAC ID 9335037944, 27 clinicians

Practice addresses (Care Compare)

611 Mocksville Ave
Salisbury, NC 28144-2705
Phone (704) 633-7220

Hospital & facility affiliations

  • Novant Health Rowan Medical Center Hospital, Salisbury, NC, CCN 340015
  • Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy269
Upper gastrointestinal (GI) endoscopy for acid reflux143

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rowan Diagnostic Clinic, PA Gastroenterology CurrentSince Aug 1, 2007 Accepting new patients
Rowan Endoscopy Center, PLLC Gastroenterology CurrentSince Dec 13, 2018 Accepting new patients
Rowan Diagnostic Clinic P.a. CurrentSince Aug 1, 2007 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

  • Direct secure messaging: kiran.jagarlamudi@rowandiagnostic.eclinicaldirectplus.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.