| Dr Ajai Shreevatsa, MD | |
|
100 Airport Rd, Kinston, NC 28501-1604 | |
| (252) 522-7000 | |
| Not Available |
| Full Name | Dr Ajai Shreevatsa |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 2 Years |
| Location | 100 Airport Rd, Kinston, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760549240 | NPI | - | NPPES |
| 000000218191 | Other | OH | UNISON |
| 745494 | Other | OH | BUCKEYE |
| 1760549240 | Medicaid | MI | |
| 000000506289 | Other | OH | ANTHEM |
| 2720621 | Medicaid | OH | |
| 415034 | Other | OH | WELLCARE |
| P00385142 | Other | OH | RAILROAD MEDICARE |
| 7937887 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 89029 (Ohio) | Primary |
| 207R00000X | Internal Medicine | 2014-01417 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Roanoke Chowan Hospital | Ahoskie, NC | Hospital |
| Stoughton Hospital | Stoughton, WI | Hospital |
| Vidant Medical Center | Greenville, NC | Hospital |
| Parker Indian Health Center | Parker, AZ | Hospital |
| Unc Lenoir Health Care | Kinston, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Unc Physicians Network Llc | 5496940546 | 994 |
| Dhhs Ihs Phoenix Area | 0244405629 | 51 |
| Vidant Medical Group Llc | 0345343893 | 971 |
| Stoughton Hospital Association | 7012825706 | 67 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Unc Physicians Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ajai Shreevatsa, MD 124 Charlestowne Cir, Winston Salem, NC 27103-5716 Ph: (440) 465-8290 | Dr Ajai Shreevatsa, MD 100 Airport Rd, Kinston, NC 28501-1604 Ph: (252) 522-7000 |
Katrina Ellen Meachem, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Airport Rd Fl 4, Kinston, NC 28501 Phone: 252-522-7197 Fax: 252-522-7288 | |
Misbah Ul-ahsan Qadir, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 313 Airport Road, Kinston, NC 28501 Phone: 252-559-2200 Fax: 252-522-9778 | |
Dr. Kenton Grey Kozel, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Airport Rd, Kinston, NC 28501 Phone: 252-522-7000 Fax: 252-522-7007 | |
Dr. John Kunnuthara John, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 744 Airport Rd, Kinston, NC 28504 Phone: 252-523-0026 Fax: 252-523-1855 | |
Mohammad Omer Iqbal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Doctors Dr, Suite N, Kinston, NC 28501 Phone: 252-559-2200 Fax: 252-522-9778 | |
Kishore Roy Chowdhury, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Airport Rd, Lenoir Memorial Hospital, Kinston, NC 28501 Phone: 252-522-7000 | |
Saroj Prakash Kandel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 706 Rosanne Dr, Kinston, NC 28504 Phone: 252-527-9800 Fax: 252-527-8353 |