Organization Active NPI

Sai Urology PA

  • Urology Physician
  • Roanoke Rapids, NC
National Provider Identifier
1932170438
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
9800672 Issued in NC
Legal business name
SAI UROLOGY PA
Practice address
117 Professional Dr
Roanoke Rapids, NC 27870-3220
Phone
(252) 308-6889
Fax
(252) 308-0049
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

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

Authorized official

Name
Mr. Natarajan Rajan, MDNPI 1275598633
Title
Physician
Phone
(252) 308-6889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 9800672 NC Primary

Addresses

Primary practice location

117 Professional Dr
Roanoke Rapids, NC 27870-3220

Mailing address

117 Professional Drive
Roanoke Rapids, NC 27870-3220
Phone (252) 308-6889

Other identifiers 3

IdentifierTypeStateIssuer
0112NOtherNCBCBS
340017191OtherNCRAILROAD MEDICARE
790112NMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061027000169 NC Part B Supplier - Clinic/Group Practice 6305843707 Receives reassigned benefits from 1 practitioner
Practice locations: Roanoke Rapids, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0954255Sai Urology PA117 Professional Dr, Roanoke Rapids, NC 27870Provider-performed microscopyMar 16, 2027

National Provider Directory

National Provider Directory

Locations

117 Professional Dr
Roanoke Rapids, NC 27870
Phone (252) 308-6889

Interoperability endpoints

  • Direct secure messaging: natarajanrajan@saiuro.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321660800000",
    "number": "1932170438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 PROFESSIONAL DRIVE",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703220",
            "telephone_number": "252-308-6889",
            "fax_number": "252-308-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 PROFESSIONAL DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703220",
            "telephone_number": "252-308-6889",
            "fax_number": "252-308-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI UROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2011-11-19",
        "status": "A",
        "authorized_official_last_name": "RAJAN",
        "authorized_official_first_name": "NATARAJAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "252-308-6889",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NC",
            "license": "9800672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0112N",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340017191",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790112N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.