Organization Active NPI

Carolina Heart Center, PA

  • Cardiovascular Disease Physician
  • Raleigh, NC
National Provider Identifier
1801166459
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
9400607 Issued in NC
Legal business name
CAROLINA HEART CENTER, PA
Practice address
3406 Six Forks Rd
Raleigh, NC 27609-7234
Phone
(919) 881-7770
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Dr. Pankaj N Parikh, M.D.NPI 1427008366
Title
Physician
Phone
(919) 881-7770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 9400607 NC Primary

Addresses

Primary practice location

3406 Six Forks Rd
Raleigh, NC 27609-7234

Mailing address

3406 Six Forks Rd
Raleigh, NC 27609-7234
Phone (919) 881-7770

Other identifiers 1

IdentifierTypeStateIssuer
8965483MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120209000005 NC Part B Supplier - Clinic/Group Practice 8123285764 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory
Tax ID family
Carolina Heart Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3406 Six Forks Rd
Raleigh, NC 27609
Phone (919) 881-7770

404 Memorial Drive Ext
#A
Greer, SC 29651

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1801166459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097234",
            "telephone_number": "919-881-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097234",
            "telephone_number": "919-881-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HEART CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "919-881-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "9400607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8965483",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.