Active NPI
Mahdi Said Agha, MD
- Cardiovascular Disease Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2022-00294
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-3498 - Phone
- (713) 679-8087
- NPI assigned
- Mar 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 2022-00294 | NC | Primary |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-3498
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-9348
Other practice location 1
186 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone (336) 277-2000
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221012000552 | NC | Practitioner - Cardiovascular Disease (Cardiology) | 5890176648 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients |
Locations
1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181
250 Hospital Dr
Lexington, NC 27292
Phone (336) 238-4150
186 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000
185 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- magha2756274@carolinashealthcaresystem.direct-ci.com
- magha1085090@direct.novanthealth.org
Organizations & group practices 5
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
- Greensboro, NC
- NPI 1013265909
NC
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
NC
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Community/Retail Pharmacy
- Eden, NC
- NPI 1861222507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1720548977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-9348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271573498",
"telephone_number": "713-679-8087"
}
],
"practiceLocations": [
{
"address_1": "186 Kimel Park Dr",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271036946",
"country_code": "US",
"telephone_number": "336-277-2000",
"fax_number": "336-277-2050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGHA",
"first_name": "MAHDI",
"middle_name": "SAID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-22",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2022-00294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.