Active NPI
Arthi Kachru Khazanchi, M.D
- Pediatrics Physician
- Fayetteville, NC
National Provider Identifier
1710128327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2011-01512
- Practice address
- 1271 Oliver St
Fayetteville, NC 28304-4450 - Phone
- (910) 323-4281
- Fax
- (910) 323-2842
- NPI assigned
- Mar 11, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2011-01512 | NC | Primary |
Addresses
Primary practice location
1271 Oliver St
Fayetteville, NC 28304-4450
Mailing address
PO Box 647
Fayetteville, NC 28302-0647
Phone (910) 483-7337
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710128327 | Other | NC | DOCTORS DIRECT |
| 1710128327 | Other | NC | HEALTHSMART |
| 1710128327 | Medicaid | NC | |
| 2898036 | Other | NC | GREATWEST/CIGNA |
| 9157534 | Other | NC | AETNA |
| 1710128327 | Other | NC | HUMANA |
| 1355058 | Other | NC | WELLPATH |
| 1355058 | Other | NC | COVENTRY OF THE CAROLINAS |
| 172AE | Other | NC | BCBS OF NC |
| 1710128327 | Other | HEALTHNET FEDERAL SERVICES | |
| 246959 | Other | NC | MEDCOST, LLC |
| 3408816 | Other | NC | UNITED HEALTHCARE |
| FH1101560 | Other | NC | FIRST CAROLINA CARE |
| 4016845 | Other | NC | COVENTRY NATIONAL - COVENTRY PPO |
| 13260049 | Other | NC | PHCS-MULTIPLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011-01512 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434931200000",
"number": "1710128327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 647",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283020647",
"telephone_number": "910-483-7337",
"fax_number": "910-483-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1271 OLIVER ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044450",
"telephone_number": "910-323-4281",
"fax_number": "910-323-2842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAZANCHI",
"first_name": "ARTHI",
"middle_name": "KACHRU",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-11",
"last_updated": "2015-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2011-01512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOCTORS DIRECT",
"identifier": "1710128327",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSMART",
"identifier": "1710128327",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710128327",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREATWEST/CIGNA",
"identifier": "2898036",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9157534",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1710128327",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLPATH",
"identifier": "1355058",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY OF THE CAROLINAS",
"identifier": "1355058",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "172AE",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET FEDERAL SERVICES",
"identifier": "1710128327",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST, LLC",
"identifier": "246959",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3408816",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CAROLINA CARE",
"identifier": "FH1101560",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY NATIONAL - COVENTRY PPO",
"identifier": "4016845",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS-MULTIPLAN",
"identifier": "13260049",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.