Spectrum Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2009-01871 Issued in NC

Legal business name

SPECTRUM FAMILY MEDICINE PLLC

Practice address

519 Keisler Dr Ste 104
Cary, NC 27518-7098

Phone

(919) 741-3186

Fax

(919) 400-4365

NPI assigned

May 22, 2017

Organization subpart

No

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

Authorized official

Name

Sujatha Sajeevan, MDNPI 1447442983

Title

President

Phone

(919) 741-3186

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 2

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

• Sujatha Sajeevan, M.D.

  • Family Medicine Physician
  • Cary, NC
  • NPI 1447442983
  Medicare reassignment NPD Authorized official
• Nanda Mahendra Shah, M.D.

  • Obstetrics & Gynecology Physician
  • Cary, NC
  • NPI 1144359308
  NPD (past)

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1982131843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 DARBYTOWN PL",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134279",
            "telephone_number": "919-741-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 KEISLER DR STE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187098",
            "telephone_number": "919-741-3186",
            "fax_number": "919-400-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "SAJEEVAN",
        "authorized_official_first_name": "SUJATHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-741-3186",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2009-01871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Leigh Speaker
• Keysha Hope Speakman
• Niya Spears
• Elizabeth Speas
• Jared Spector
• Spelios and Associates PA V
• Karyna Spence, LCSWA
• Lisa Marie Spencer, MD
• Shaqweeta Spencer
• Susana Spencer

• Family Medicine Physician in Cary, NC
• Providers in Cary, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.