NPIMap

Organization Active NPI

Premier Gastroenterology, PA

  • Specialist
  • Fayetteville, NC
National Provider Identifier
1952306599
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PREMIER GASTROENTEROLOGY, PA
Practice address
1880 Quiet CV
Fayetteville, NC 28304-3857
Phone
(910) 323-2477
Fax
(910) 323-5931
NPI assigned
Jun 20, 2005
Last updated
Jul 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Dr. Sanjeev Sleheria, MD
Title
President
Phone
(910) 323-2477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NC Primary

Addresses

Primary practice location

1880 Quiet CV
Fayetteville, NC 28304-3857

Mailing address

1880 Quiet CV
Fayetteville, NC 28304-3857
Phone (910) 323-2477

Other names 2

  • CAPE FEAR CENTER FOR DIGESTIVE DISEASE Former legal business name
  • Cape Fear Center for Digestive Diseases, PA Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330001364 NC Part B Supplier - Clinic/Group Practice 5890787006 Receives reassigned benefits from 35 practitioners
Practice locations: Fayetteville, 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
34D0946339Cape Fear Ctr for Digestive Diseases1880 Quiet Cove, Fayetteville, NC 28304Certificate of waiverMay 21, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: admin@cfcdd-net.e-mdsdirect.com
  • Direct secure messaging: bryan-uslick@cfcdd-net.e-mdsdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EHJBAA
  • Direct secure messaging: jwes-jones@cfcdd-net.e-mdsdirect.com
  • Direct secure messaging: kiran-nakkala-1@cfcdd-net.e-mdsdirect.com
  • Direct secure messaging: kiran-nakkala-2@cfcdd-net.e-mdsdirect.com
  • Direct secure messaging: kiran-nakkala@cfcdd-net.e-mdsdirect.com
  • Direct secure messaging: kiran-r-nakkala@cfcdd-net.e-mdsdirect.com
  • Direct secure messaging: paula-lastoria@cfcdd-net.e-mdsdirect.com
  • Direct secure messaging: rakesh-gupta@cfcdd-net.e-mdsdirect.com
  • Direct secure messaging: sanjeev-slehria@cfcdd-net.e-mdsdirect.com
  • Direct secure messaging: torica-fuller@cfcdd-net.e-mdsdirect.com

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1952306599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 QUIET CV",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043857",
            "telephone_number": "910-323-2477",
            "fax_number": "910-323-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 QUIET CV",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043857",
            "telephone_number": "910-323-2477",
            "fax_number": "910-323-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER GASTROENTEROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "SLEHERIA",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-323-2477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAPE FEAR CENTER FOR DIGESTIVE DISEASE",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "CAPE FEAR CENTER FOR DIGESTIVE DISEASE",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Cape Fear Center for Digestive Diseases, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.