Individual provider Active NPI

Sanjay Prasher, MD

  • Clinical Cardiac Electrophysiology Physician
  • Fayetteville, NC
National Provider Identifier
1922009935
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
200301160 Issued in NC
Practice address
2301 Robeson St
Suite 301
Fayetteville, NC 28305-5640
Phone
(910) 484-4100
Fax
(910) 484-4179
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 200301160 NC Primary

Addresses

Primary practice location

2301 Robeson St
Suite 301
Fayetteville, NC 28305-5640

Mailing address

2301 Robeson St
Suite 301
Fayetteville, NC 28305-5640
Phone (910) 484-4100

Other identifiers 2

IdentifierTypeStateIssuer
89135R3MedicaidNC
P00074543OtherNCRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 5, 2023 Accepting new patients
Mon-Vale Specialty Practices, Inc CurrentSince Aug 1, 2022 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Sep 5, 2023 Accepting new patients
Mon-Vale Specialty Practices, Inc CurrentSince Aug 1, 2022 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 5, 2023 Accepting new patients
Mon-Vale Specialty Practices, Inc Current Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Health Thomasville Medical Center, LLC CurrentSince Sep 16, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc CurrentSince Sep 5, 2023 Accepting new patients
Fayetteville Heart Center, P.C. CurrentSince Nov 14, 2008 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Sep 16, 2023 Accepting new patients
Novant Health Ballantyne Medical Center LLC CurrentSince Sep 16, 2023 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

2301 Robeson St
Ste 301
Fayetteville, NC 28305
Phone (910) 484-4100

144 Forest Hill Rd
Ste 144146
Lexington, NC 27295
Phone (336) 481-1730

694 Riverside Dr
Mount Airy, NC 27030
Phone (336) 719-7892

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

211 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-1191

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

186 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000

1290 Chess St
Ste 101
Monongahela, PA 15063
Phone (724) 871-0025

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

800 Plaza Dr
Ste 400
Rostraver Township, PA 15012
Phone (724) 379-5802

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1922009935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ROBESON ST",
            "address_2": "SUITE 301",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055640",
            "telephone_number": "910-484-4100",
            "fax_number": "910-484-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ROBESON ST",
            "address_2": "SUITE 301",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055640",
            "telephone_number": "910-484-4100",
            "fax_number": "910-484-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASHER",
        "first_name": "SANJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NC",
            "license": "200301160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89135R3",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00074543",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.