Active NPI
Shoukath Ansari, M.D.
- Gastroenterology Physician
- Hamlet, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 27767
- 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, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2223641 | Other | NC | MEDICARE |
| 107798 | Medicaid | SC | |
| 11568 | Other | NC | NC BC INDIVIDUAL |
| 100008692 | Other | SC | RR MEDICARE |
| 100009710 | Other | NC | RR MEDICARE |
| 8911568 | Medicaid | NC | |
| D091992621 | Other | SC | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 42 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27767 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Regional Medical Center of the Pee Dee, Inc | Internal Medicine | Current | Accepting new patients |
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Physician Associates II | Internal Medicine | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| MCPC-7, LLC | Internal Medicine | Current | Accepting new patients |
| McLeod Physician Associates II | Current | 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
- sansari12942@firsthealth.direct-ci.net
- 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.
-
dba Sandhills Regional Physician Group
- Internal Medicine Physician
- Hamlet, NC
- NPI 1881968709
-
- Family Medicine Physician
- Florence, SC
- NPI 1801990494
Internal Medicine
-
dba Cbo MRMC Emergency
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Internal Medicine
-
dba McLeod Urgent Care Center - Darlington
- Urgent Care Clinic/Center
- Darlington, SC
- NPI 1386819613
-
dba McLeod Orthopaedics - Florence
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
-
dba McLeod Outpatient Pharmacy
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Firsthealth Bariatric Center
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
dba Firsthealth Regional EMS System
- Land Ambulance
- Pinehurst, NC
- NPI 1871610378
Hospital
-
dba FirstHealth Cancer Center
- Oncology Clinic/Center
- Pinehurst, NC
- NPI 1417010422
Hospital
-
dba FH Moore Regional Hospital (Acute)
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.