Individual provider Active NPI

Dinesh Rugnath, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Jackson, MS
National Provider Identifier
1821280363
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
20721 Issued in MS
Practice address
2500 N State St
Department of Pathology/Univ. of Mississippi Med CNTR
Jackson, MS 39216
Phone
(601) 984-1530
NPI assigned
Aug 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 20721 MS Primary

Addresses

Primary practice location

2500 N State St
Department of Pathology/Univ. of Mississippi Med CNTR
Jackson, MS 39216

Mailing address

2500 N State St
Department of Pathology/Univ. of Mississippi Med CNTR
Jackson, MS 39216
Phone (601) 984-1530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100216000128 MS Practitioner - Pathology 3476697343 Reassigns benefits to 1 organization
I20200420002718 GA Practitioner - Pathology 3476697343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

203 Indigo Dr
Brunswick, GA 31525-6865
Phone 91226126691205

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hub Care Pathology, P.a. Anatomic Pathology & Clinical Pathology CurrentSince Dec 5, 2016 Accepting new patients
Southeastern Pathology Associates PC Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2020 Accepting new patients
Southeastern Pathology Associates PC Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2020 Accepting new patients
Coastal Care Inc Past Accepting new patients

Locations (25 of 27)

1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087

801 Oak St
Green Cv Spgs, FL 32043
Phone (904) 215-7015

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010

1350 13th Ave S
Jax Bch, FL 32250
Phone (904) 247-2900

1771 Baptist Clay Dr
Orange Park, FL 32003
Phone (904) 516-1000

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

203 Indigo Dr
Brunswick, GA 31525
Phone (912) 279-1900

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

710 Center St
Ste 101
Columbus, GA 31901

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

616 19th St
Columbus, GA 31901
Phone (706) 494-4262

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

898 College St
Monticello, GA 31064
Phone (706) 468-0988

2000 Dan Proctor Dr
Saint Marys, GA 31558
Phone (912) 576-6160

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

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

2810 N Oak St
Valdosta, GA 31602
Phone (229) 259-0019

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1821280363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "DEPARTMENT OF PATHOLOGY/UNIV. OF MISSISSIPPI MED CNTR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "601-984-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "DEPARTMENT OF PATHOLOGY/UNIV. OF MISSISSIPPI MED CNTR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "601-984-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGNATH",
        "first_name": "DINESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MS",
            "license": "20721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.