NPIMap

Individual provider Active NPI

Guirguis Eskandar, D.O

  • Diagnostic Radiology Physician
  • Fayetteville, NC
National Provider Identifier
1982943908
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2019-00420 Issued in NC
Practice address
3186 Village Dr Ste 201
Fayetteville, NC 28304-3979
Phone
(910) 486-5700
Fax
(910) 486-5950
NPI assigned
Feb 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 3404 TN
Diagnostic Radiology Physician 2085R0202X 2019-00420 NC Primary

Addresses

Primary practice location

3186 Village Dr Ste 201
Fayetteville, NC 28304-3979

Mailing address

3186 Village Dr
Ste 201
Fayetteville, NC 28304-3979
Phone (615) 322-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, FL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190613002889 NC Practitioner - Diagnostic Radiology 3072872357 Reassigns benefits to 3 organizations
I20200611002739 SC Practitioner - Diagnostic Radiology 3072872357 Reassigns benefits to 1 organization
I20201021000320 FL Practitioner - Diagnostic Radiology 3072872357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Radiology PAGroup PAC ID 4587577390, 222 clinicians

Practice addresses (Care Compare)

Tampa, FL 33626
Phone (704) 334-7800

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 362-1945

1656 Riverchase Blvd
Suite 1200
Rock Hill, SC 29732-0270
Phone (803) 327-9934

Hospital & facility affiliations

  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Atrium Health Pineville Hospital, Charlotte, NC, CCN 340098
  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001
  • Atrium Health Union Hospital, Monroe, NC, CCN 340130
  • Atrium Health Cleveland Hospital, Shelby, NC, CCN 340021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bladen Healthcare LLC Current Accepting new patients
Charlotte Radiology P a CurrentSince Jul 1, 2020 Accepting new patients
Bladen Healthcare LLC CurrentSince Jul 1, 2019 Accepting new patients
Valley Radiology P a Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Bladen Healthcare LLC CurrentSince Jul 1, 2019 Accepting new patients
Carolinas Imaging Services LLC CurrentSince Jul 1, 2020 Accepting new patients
Union Medical Services LLC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Medical Imaging Center, LLC CurrentSince Apr 1, 2019 Accepting new patients
Carolinas Imaging Services, LLC CurrentSince Jul 1, 2020 Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients
Diversified Radiology of Colorado, Inc Diagnostic Radiology Past Accepting new patients
Charlotte Radiology PA Diagnostic Radiology PastSince Jul 1, 2020 Accepting new patients
Tuhc Radiology Group LLC Diagnostic Radiology Past Accepting new patients

Locations

700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390

12335 N Community House Rd
Ste B
Charlotte, NC 28277

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

3186 Village Dr
Ste 201
Fayetteville, NC 28304
Phone 9104865700104

724 Aubrey Bell Dr
Matthews, NC 28105
Phone (704) 295-3550

7666 Charlotte Hwy
Ste 120
Indian Land, SC 29707
Phone (803) 328-6281

1656 Riverchase Blvd
Ste 1200
Rock Hill, SC 29732
Phone (803) 327-9934

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 12

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": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1982943908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3186 VILLAGE DR",
            "address_2": "STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043979",
            "telephone_number": "615-322-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 VILLAGE DR STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043979",
            "telephone_number": "910-486-5700",
            "fax_number": "910-486-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESKANDAR",
        "first_name": "GUIRGUIS",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-11",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "3404",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2019-00420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.