Individual provider Active NPI

Sirish Sanaka, M.D.

  • Gastroenterology Physician
  • Greenville, NC
National Provider Identifier
1902017452
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2011-00442 Issued in NC
Practice address
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone
(252) 744-5681
Fax
(252) 744-8426
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD429708 PA
Transplant Hepatology Physician 207RT0003X 25MA09768200 NJ
Hospitalist Physician 208M00000X MD429708 PA
Gastroenterology Physician 207RG0100X 2011-00442 NC Primary

Addresses

Primary practice location

2100 Stantonsburg Rd
Greenville, NC 27834-2818

Mailing address

4308 Lagan Cir
Winterville, NC 28590-8212
Phone (215) 990-9448

Other practice location 1

185 S Orange Ave
MSB - H- 538
Newark, NJ 07103-2757
Phone (973) 972-5252

Other practice location 2

185 S Orange Ave
MSB - H- 538
Newark, NJ 07103-2757
Phone (973) 972-5252

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110504000549 NC Practitioner - GastroenterologyPractitioner - Internal Medicine 7416040415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1120 SE Cary Pkwy
Suite 204
Cary, NC 27511-7413
Phone (919) 854-0041

Hospital & facility affiliations

  • Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy74
Upper gastrointestinal (GI) endoscopy for acid reflux39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011-00442NCMDGastroenterology Physician
25MA09768200NJMDTransplant Hepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Digestive Diseases and Cary Endoscopy Center, PC Gastroenterology CurrentSince Jul 1, 2019 Accepting new patients

Locations

1120 SE Cary Pkwy
Ste 204
Cary, NC 27518
Phone (919) 854-0041

Organizations & group practices 1

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 1

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902017452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 LAGAN CIR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908212",
            "telephone_number": "215-990-9448",
            "fax_number": "267-654-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STANTONSBURG RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342818",
            "telephone_number": "252-744-5681",
            "fax_number": "252-744-8426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 S Orange Ave",
            "address_2": "MSB - H- 538",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032757",
            "country_code": "US",
            "telephone_number": "973-972-5252",
            "fax_number": "973-972-3144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 S Orange Ave",
            "address_2": "MSB - H- 538",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032757",
            "country_code": "US",
            "telephone_number": "973-972-5252",
            "fax_number": "973-972-3144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANAKA",
        "first_name": "SIRISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD429708",
            "primary": false
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "NJ",
            "license": "25MA09768200",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD429708",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2011-00442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.