Individual provider Active NPI

Shoukath Ansari, M.D.

  • Gastroenterology Physician
  • Hamlet, NC
National Provider Identifier
1942292040
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
27767 Issued in NC
Practice address
102 Endo LN
Hamlet, NC 28345-4562
Phone
(910) 205-3035
Fax
(910) 205-3062
NPI assigned
Aug 16, 2005
Last updated
Feb 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 27767 NC Primary
Gastroenterology Physician 207RG0100X 10779 SC

Addresses

Primary practice location

102 Endo LN
Hamlet, NC 28345-4562

Mailing address

102 Endo LN
Hamlet, NC 28345-4562
Phone (843) 479-6268

Other identifiers 7

IdentifierTypeStateIssuer
2223641OtherNCMEDICARE
107798MedicaidSC
11568OtherNCNC BC INDIVIDUAL
100008692OtherSCRR MEDICARE
100009710OtherNCRR MEDICARE
8911568MedicaidNC
D091992621OtherSCMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20100826001210 NC Practitioner - Gastroenterology 3779569983 Reassigns benefits to 1 organization
I20110428000045 SC Practitioner - Gastroenterology 3779569983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-7 LLCGroup PAC ID 9739341066, 6 clinicians

Practice addresses (Care Compare)

102 Endo LN
Suite 2
Hamlet, NC 28345-4563
Phone (910) 205-3035

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy42
Upper gastrointestinal (GI) endoscopy for acid reflux49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27767NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince Sep 15, 2024 Accepting new patients
McLeod Physician Associates II CurrentSince Oct 16, 2015 Accepting new patients
McLeod Physician Associates II Internal Medicine Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 15, 2024 Accepting new patients
MCPC-7, LLC Internal Medicine CurrentSince Dec 1, 2016 Accepting new patients
McLeod Physician Associates II CurrentSince Oct 16, 2015 Accepting new patients

Locations

102 Endo Ln
Ste 2
Hamlet, NC 28345
Phone (910) 205-3035

104 Rice St
Hamlet, NC 28345
Phone (910) 582-4003

222 W Main St
Hamlet, NC 28345
Phone (910) 205-0400

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

506 E Cheves St
#202
Florence, SC 29506
Phone (843) 777-5091

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

Interoperability endpoints

  • Direct secure messaging: sansari12942@firsthealth.direct-ci.net
  • Direct secure messaging: sansari21701@directmcleodehealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1942292040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ENDO LN",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283454562",
            "telephone_number": "843-479-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ENDO LN",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283454562",
            "telephone_number": "910-205-3035",
            "fax_number": "910-205-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "SHOUKATH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "27767",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "10779",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2223641",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107798",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BC INDIVIDUAL",
            "identifier": "11568",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "100008692",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "100009710",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911568",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "D091992621",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamlet, NC

Sources for this page

Verify at the official NPI Registry.