NPIMap

Individual provider Active NPI

Anthony Kechante Njapa, D.O.

  • General Practice Physician
  • Wilmington, NC
National Provider Identifier
1881659019
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2006-00122 Issued in NC
Practice address
1444 S 17TH St
Wilmington, NC 28401-6436
Phone
(910) 793-4311
Fax
(910) 793-4322
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2006-00122 NC Primary

Addresses

Primary practice location

1444 S 17TH St
Wilmington, NC 28401-6436

Mailing address

1444 S 17TH St
Wilmington, NC 28401-6436
Phone (910) 793-4311

Other practice location 1

110 Eastwood Dr
Wallace, NC 28466-9201
Phone (910) 285-2330

Other identifiers 1

IdentifierTypeStateIssuer
5907797MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070416000268 NC Practitioner - General Practice 6305941618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anjan Medical Management PLLCGroup PAC ID 3971691130, 2 clinicians

Practice addresses (Care Compare)

110 Eastwood Dr
Wallace, NC 28466-9201
Phone (910) 285-2330

1444 S 17TH St
Wilmington, NC 28401-6436
Phone (910) 793-4311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006-00122NCMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anjan Medical Management PLLC General Practice CurrentSince Jul 27, 2007 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Nov 1, 2024 Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Nov 1, 2024 Accepting new patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center Incorporated PastSince Jul 27, 2007 Accepting new patients
St. Barnabas OB GYN, PC Past Accepting new patients

Locations

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

110 Eastwood Dr
Wallace, NC 28466
Phone (910) 285-2330

1444 S 17th St
Wilmington, NC 28401
Phone (910) 793-4311

Interoperability endpoints

  • Direct secure messaging: anjapa@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: drnjapacoastalmds@coastalmds.amazing-direct.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1881659019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016436",
            "telephone_number": "910-793-4311",
            "fax_number": "910-793-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016436",
            "telephone_number": "910-793-4311",
            "fax_number": "910-793-4322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Eastwood Dr",
            "address_purpose": "LOCATION",
            "city": "Wallace",
            "state": "NC",
            "postal_code": "284669201",
            "country_code": "US",
            "telephone_number": "910-285-2330",
            "fax_number": "910-320-8429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NJAPA",
        "first_name": "ANTHONY",
        "middle_name": "KECHANTE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2006-00122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907797",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.