Individual provider Active NPI

Ajai Shreevatsa, MD

  • Internal Medicine Physician
  • Kinston, NC
National Provider Identifier
1760549240
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
89029 Issued in OH
Practice address
100 Airport Rd
Kinston, NC 28501-1604
Phone
(252) 522-7000
NPI assigned
Jan 3, 2007
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 89029 OH Primary
Internal Medicine Physician 207R00000X 2014-01417 NC

Addresses

Primary practice location

100 Airport Rd
Kinston, NC 28501-1604

Mailing address

124 Charlestowne Cir
Winston Salem, NC 27103-5716
Phone (440) 465-8290

Other practice location 1

12033 Agency Rd
Parker, AZ 85344-7718
Phone (928) 669-2137

Other practice location 2

509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 209-3545

Other practice location 3

7590 Auburn Rd
Concord Twp, OH 44077-9176
Phone (440) 375-8100

Other practice location 4

2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Phone (919) 736-1110

Other identifiers 8

IdentifierTypeStateIssuer
1760549240MedicaidMI
2720621MedicaidOH
745494OtherOHBUCKEYE
P00385142OtherOHRAILROAD MEDICARE
415034OtherOHWELLCARE
000000218191OtherOHUNISON
7937887OtherAETNA
000000506289OtherOHANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashreevatsa211251@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA, WI, TX5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20140911001971 NC Practitioner - Internal MedicinePractitioner - Hospitalist 8426152927 Reassigns benefits to 2 organizations
I20191029001207 GA Practitioner - Internal Medicine 8426152927 Reassigns benefits to 1 organization
I20210610001105 WI Practitioner - Internal Medicine 8426152927 Reassigns benefits to 4 organizations
I20211123002729 WI Practitioner - Hospitalist 8426152927 Reassigns benefits to 1 organization
I20250826003001 TX Practitioner - Internal Medicine 8426152927 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians
DHHS IHS Phoenix AreaGroup PAC ID 0244405629, 54 clinicians
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians
Stoughton Hospital AssociationGroup PAC ID 7012825706, 66 clinicians

Practice addresses (Care Compare)

100 Airport Rd
Kinston, NC 28501-1604

12033 Agency Rd
Parker, AZ 85344-7718
Phone (928) 669-2137

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757

900 Ridge St
Stoughton, WI 53589-1864
Phone (608) 873-6611

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89029OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS IHS Phoenix CurrentSince Aug 1, 2025 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
DHHS IHS Phoenix Area CurrentSince Aug 1, 2025 Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince Aug 1, 2021 Accepting new patients
Stoughton Hospital Association CurrentSince Jan 1, 2026 Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Vidant Medical Group LLC CurrentSince Jan 29, 2024 Accepting new patients
Unc Physicians Network LLC Internal Medicine CurrentSince Feb 6, 2022 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 1, 2021 Accepting new patients
Irene Benn Medical Center CurrentSince Aug 1, 2025 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Aug 1, 2025 Accepting new patients
Hightower Physician Services, PC CurrentSince Aug 18, 2019 Accepting new patients
Reedsburg Area Medical Center, Inc. Current Accepting new patients
Stoughton Hospital Association CurrentSince Aug 23, 2021 Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

200 Corporate Blvd
Lafayette, LA 70508

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410

Interoperability endpoints

  • Direct secure messaging: ashreevatsa211251@direct.unc.nchie.net

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 9

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1760549240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CHARLESTOWNE CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035716",
            "telephone_number": "440-465-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011604",
            "telephone_number": "252-522-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12033 Agency Rd",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "AZ",
            "postal_code": "853447718",
            "country_code": "US",
            "telephone_number": "928-669-2137",
            "fax_number": "928-669-3131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 N Brightleaf Blvd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774407",
            "country_code": "US",
            "telephone_number": "919-209-3545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7590 Auburn Rd",
            "address_purpose": "LOCATION",
            "city": "Concord Twp",
            "state": "OH",
            "postal_code": "440779176",
            "country_code": "US",
            "telephone_number": "440-375-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Wayne Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275349494",
            "country_code": "US",
            "telephone_number": "919-736-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHREEVATSA",
        "first_name": "AJAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "89029",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2014-01417",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760549240",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2720621",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "745494",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00385142",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "415034",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000218191",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7937887",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000506289",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashreevatsa211251@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2700 Wayne Memorial Dr",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.