Active NPI
Nikhil Shankar, M.D.
- Emergency Medicine Physician
- Goldsboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 271718
- Practice address
- 2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494 - Phone
- (919) 731-6060
- NPI assigned
- Jun 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 202000357 | NC | |
| Emergency Medicine Physician | 207P00000X | 271718 | MA | Primary |
Addresses
Primary practice location
2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Mailing address
PO Box K
Goldsboro, NC 27533-9710
Phone (919) 580-0008
Other practice location 1
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202000357 | Other | NC | NC MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nshankar656463@direct.UNC.nchie.net | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1705 Tarboro St SW
Wilson, NC 27893-3428
Phone (252) 399-8101
Hospital & facility affiliations
- Wilson Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202000357 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Multi-Specialty | Current | Accepting new patients |
| Bull City Physicians, PLLC | Multi-Specialty | Current | Accepting new patients |
| Emergency Coverage, LLC | Multi-Specialty | Current | Accepting new patients |
| Gem Capital Physicians, PLLC | Multi-Specialty | Current | Accepting new patients |
| Emergency Coverage Services, PC | Multi-Specialty | Past | Accepting new patients |
Locations
566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352
100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- nshankar41675@direct.southcoast.org
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- nshankar656463@direct.unc.nchie.net
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Henderson, NC
- NPI 1770004285
Multi-Specialty
-
- Emergency Medicine Physician
- Louisburg, NC
- NPI 1225524598
Multi-Specialty
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
Multi-Specialty, NC
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilson, NC
- NPI 1215359922
-
- Psychiatric Hospital Unit
- Wilson, NC
- NPI 1386196459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1912387804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX K",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275339710",
"telephone_number": "919-580-0008",
"fax_number": "919-580-9224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 WAYNE MEMORIAL DR",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349494",
"telephone_number": "919-731-6060"
}
],
"practiceLocations": [
{
"address_1": "330 Brookline Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02215",
"country_code": "US",
"telephone_number": "617-667-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANKAR",
"first_name": "NIKHIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-04",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "NC",
"license": "202000357",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "271718",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICAL LICENSE",
"identifier": "202000357",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nshankar656463@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 Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.