Individual provider Active NPI

Deepak Udupa Sekaran, M.D.

  • Emergency Medicine Physician
  • Roanoke Rapids, NC
National Provider Identifier
1922446962
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2021-02111 Issued in NC
Practice address
250 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone
(252) 537-8715
Fax
(252) 535-8589
NPI assigned
Jun 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Emergency Medicine Physician 207P00000X 2021-02111 NC Primary

Addresses

Primary practice location

250 Smith Church Rd
Roanoke Rapids, NC 27870-4914

Mailing address

313 Rollingwood Rd
Roanoke Rapids, NC 27870-3250
Phone (252) 744-5069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 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
I20180914000683 NY Practitioner - Emergency Medicine 6002166980 Reassigns benefits to 2 organizations
I20190228000380 TX Practitioner - Emergency Medicine 6002166980 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Brody School of Medicine at East Carolina University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHHS IHS Phoenix AreaGroup PAC ID 0244405629, 54 clinicians

Practice addresses (Care Compare)

12033 Agency Rd
Parker, AZ 85344-7718
Phone (928) 669-2137

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Pintado Clinic CurrentSince Jul 26, 2021 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Jul 30, 2018 Accepting new patients
Irene Benn Medical Center CurrentSince Jan 1, 2025 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center General Acute Care Hospital CurrentSince Jan 24, 2019 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Thoreau Clinic CurrentSince Jul 26, 2021 Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 20, 2021 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jan 1, 2025 Accepting new patients
DHHS IHS Phoenix CurrentSince Jan 1, 2025 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Jul 1, 2024 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
DHHS PHS Naihs Crownpoint Hospital General Acute Care Hospital Current Accepting new patients

Locations

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 12

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1922446962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 ROLLINGWOOD RD",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703250",
            "telephone_number": "252-744-5069",
            "fax_number": "252-744-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SMITH CHURCH RD",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704914",
            "telephone_number": "252-537-8715",
            "fax_number": "252-535-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKARAN",
        "first_name": "DEEPAK",
        "middle_name": "UDUPA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2021-02111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

Verify at the official NPI Registry.