NPIMap

Amar M. Amaresh, M.D.

Individual provider Active NPI Diagnostic Radiology Physician · Raleigh, NC

NPI 1700873015 · NPPES record last updated Dec 14, 2023

Key facts

NPI
1700873015
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
T3734 (TX)
Practice address
5220 Greens Dairy Rd
Raleigh, NC 27616-4612
Phone
(919) 781-1437
Fax
(919) 503-4406
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Interventional Radiology
Also: Diagnostic Radiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLC (709 clinicians)
Raleigh Radiology Wakemed Imaging, LLC (57 clinicians)
Raleigh Radiology Associates Inc (58 clinicians)
Raleigh Radiology LLC (61 clinicians)

Practice addresses (Care Compare)

104 Grannon CT
Cary, NC 27519-7102
Phone (434) 200-5047

11640 Northpark Dr
Suite 110
Wake Forest, NC 27587-5741
Phone (919) 781-1437

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7000

3200 Blue Ridge Rd
Suite 100
Raleigh, NC 27612-8087
Phone (919) 781-1437

Hospital & facility affiliations

  • Wakemed, Raleigh Campus Hospital · Raleigh, NC · CCN 340069
  • Centra Health - Lynchburg Gen Hospital Hospital · Lynchburg, VA · CCN 490021
  • Wakemed, Cary Hospital Hospital · Cary, NC · CCN 340173
  • Wilson Medical Center Hospital · Wilson, NC · CCN 340126
  • Southside Community Hospital, Inc Hospital · Farmville, VA · CCN 490090

Medicare participation

Medicare fee-for-service enrollment
Enrolled (4 enrollments) in NC, TX, VA, SC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070124000547 NC Practitioner - Interventional Radiology
Practitioner - Diagnostic Radiology		 2961395322 Reassigns benefits to 7 organizations
I20211115002511 TX Practitioner - Diagnostic Radiology
Practitioner - Interventional Radiology		 2961395322 Reassigns benefits to 2 organizations
I20240528003447 VA Practitioner - Diagnostic Radiology
Practitioner - Interventional Radiology		 2961395322 Reassigns benefits to 2 organizations
I20240528003605 SC Practitioner - Diagnostic Radiology 2961395322 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
89332SCMDDiagnostic Radiology Physician
T3734TXMDDiagnostic Radiology Physician
200601337NCMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC Current
since Nov 26, 2022		 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology Current
since May 30, 2023		 Accepting new patients
Centra Health Professional Services, LLC Current
since Apr 21, 2024		 Accepting new patients
Raleigh Radiology, LLC Diagnostic Radiology Current
since Apr 21, 2024		 Accepting new patients
Pinnacle Health Services of North Carolina LLC Diagnostic Radiology Current
since May 23, 2023		 Accepting new patients
Baylor College of Medicine Current
since Nov 1, 2021		 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Centra Medical Group, LLC Current
since Apr 21, 2024		 Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology Current
since Nov 1, 2021		 Accepting new patients
Raleigh Radiology Associates, Inc. Diagnostic Radiology Current
since Oct 3, 2023		 Accepting new patients
Baylor College of Medicine Current
since Nov 1, 2021		 Accepting new patients
Baylor College of Medicine Current
since Nov 1, 2021		 Accepting new patients
Baylor College of Medicine Diagnostic Radiology Current
since Nov 1, 2021		 Accepting new patients
Raleigh Radiology Wakemed Imaging, LLC Diagnostic Radiology Current
since Nov 11, 2023		 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology Current
since Apr 1, 2022		 Accepting new patients
Diagnostic Radiology & Imaging LLC Diagnostic Radiology Current
since Jan 1, 2023		 Accepting new patients
Wake Forest Health Network LLC Diagnostic Radiology Current
since Nov 26, 2022		 Accepting new patients
Associated Radiologists of Flint PC Diagnostic Radiology Past Accepting new patients
Toledo Radiological Associates, Inc. Diagnostic Radiology Past Accepting new patients
Imrad of Virginia PLLC Diagnostic Radiology Past
since Apr 21, 2024		 Accepting new patients
American Access Care of NC PLLC Vascular & Interventional Radiology Past
since Jan 15, 2009		 Accepting new patients
Ballenger Road Scanner LLC Diagnostic Radiology Past Accepting new patients
Greater Flint Imaging Center Diagnostic Radiology Past Accepting new patients
Center Road Scanner LLC Diagnostic Radiology Past Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
Linden Road Imaging Center Diagnostic Radiology Past Accepting new patients

Locations

150 Parkway Office Ct
Ste 100
Cary, NC 27518

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

11618 Clayton Blvd
Ste 102
Clayton, NC 27520

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

315 W Wendover Ave
Greensboro, NC 27408
Phone (336) 273-0530

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

720 Newman Rd
New Bern, NC 28562
Phone (252) 638-3885

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3200 Blue Ridge Rd
Ste 100
Raleigh, NC 27612
Phone (919) 256-3576

5220 Greens Dairy Rd
Raleigh, NC 27616
Phone (540) 493-4581

1121 Situs Ct
Ste 170
Raleigh, NC 27606
Phone (919) 834-2767

11640 Northpark Dr
Ste 110
Wake Forest, NC 27587

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

1504 Taub Loop
#621
Houston, TX 77030

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

800 Oak St
Farmville, VA 23901
Phone (434) 315-2530

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

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

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 200601337 NC
Diagnostic Radiology Physician 2085R0202X 0101278390 VA
Diagnostic Radiology Physician 2085R0202X 89332 SC
Vascular & Interventional Radiology Physician 2085R0204X 200601337 NC
Diagnostic Radiology Physician 2085R0202X T3734 TX Yes

Addresses

Primary practice location

5220 Greens Dairy Rd
Raleigh, NC 27616-4612

Mailing address

5220 Greens Dairy Rd
Raleigh, NC 27616-4612
Phone (919) 781-1437

Other practice location 1

1331 N Elm St Ste 200
Greensboro, NC 27401-6304
Phone (336) 274-9617

Other practice location 2

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 798-1750 ext. 2

Other practice location 3

3643 N Roxboro St
Durham, NC 27704-2702
Phone (919) 470-5272

Other practice location 4

7200 Cambridge St Fl 10
Houston, TX 77030-4202
Phone (713) 798-1750 ext. 2

Other identifiers

IdentifierTypeStateIssuer
5905238MedicaidNC

Other names

  • Amaresha Muniyappa Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 14, 2023.

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1700873015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 GREENS DAIRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164612",
            "telephone_number": "919-781-1437",
            "fax_number": "919-503-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 GREENS DAIRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164612",
            "telephone_number": "919-781-1437",
            "fax_number": "919-503-4406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 N Elm St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274016304",
            "country_code": "US",
            "telephone_number": "336-274-9617",
            "fax_number": "336-482-2177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1504 Taub Loop",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301608",
            "country_code": "US",
            "telephone_number": "713-798-1750 x2",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3643 N Roxboro St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277042702",
            "country_code": "US",
            "telephone_number": "919-470-5272",
            "fax_number": "919-470-5271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 Cambridge St Fl 10",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770304202",
            "country_code": "US",
            "telephone_number": "713-798-1750 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMARESH",
        "first_name": "AMAR",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "200601337",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101278390",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "89332",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NC",
            "license": "200601337",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "T3734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905238",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMARESHA",
            "last_name": "MUNIYAPPA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

All providers in Raleigh, NC · Diagnostic Radiology Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.