1. Home
  2. Directory
  3. North Carolina
  4. Wilmington
  5. Surgery
  6. NPI Profile

KAMRAN GOUDARZI SURGICAL PRACTICE PC
NPI 1013494400
Surgery in Wilmington, NC

Active since July 27, 2018
710 MILITARY CUTOFF RD STE 130, WILMINGTON, NC 28405(910) 769-1079(910) 769-6023 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 14, 2020, Feb 6, 2020, Sep 26, 2019 and 1 more (4 updates tracked since 2018).

About Kamran Goudarzi Surgical Practice Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAMRAN GOUDARZI SURGICAL PRACTICE PC (NPI 1013494400) is a healthcare organization registered as a surgery in Wilmington, North Carolina and active in the NPI registry since July 2018. The organization lists Kamran Goudarzi, Owner, as its authorized official.

NPPES Registry Identity

NPI1013494400
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameKAMRAN GOUDARZI SURGICAL PRACTICE PC
Location Address710 MILITARY CUTOFF RD STE 130Wilmington, NC 28405-2382
Mailing Address710 Military Cutoff Rd Ste 130Wilmington, NC 28405-2382 · (910) 769-1079 · Fax (910) 769-6023
Phone(910) 769-1079
Fax(910) 769-6023
Organization SubpartNo
Authorized OfficialKamran GoudarziOwner · (910) 769-1079
Enumeration DateJuly 27, 2018
Last NPPES UpdateMay 14, 20204 updates tracked since enumeration
NPPES CertifiedMay 14, 2020
✔ NPI 1013494400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
710 MILITARY CUTOFF RD STE 130, Wilmington, NC 28405
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kamran Goudarzi Surgical Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kamran Goudarzi Surgical Practice PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kamran Goudarzi, M.D.
General Surgery
NPI 1972562593
710 MILITARY CUTOFF RD STE 130
Wilmington, NC 28405
(910) 769-3084
✔ PECOSSame address
Mandy Sangani, APRN
Nurse Practitioner
NPI 1972259075
1515 DOCTORS CIR BLDG A
Wilmington, NC 28401
(910) 662-7500
✔ PECOS6.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kamran Goudarzi Surgical Practice PC's NPI number?

The NPI number for Kamran Goudarzi Surgical Practice PC is 1013494400. It was assigned to this organization in the NPPES registry on July 27, 2018.

Where is Kamran Goudarzi Surgical Practice PC located?

Kamran Goudarzi Surgical Practice PC is located at 710 Military Cutoff Rd Ste 130, Wilmington, NC 28405. The listed phone number is (910) 769-1079.

What is Kamran Goudarzi Surgical Practice PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kamran Goudarzi Surgical Practice PC enrolled in Medicare?

Yes. Kamran Goudarzi Surgical Practice PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kamran Goudarzi Surgical Practice PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kamran Goudarzi Surgical Practice PC, in General Surgery and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kamran Goudarzi Surgical Practice PC accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Kamran Goudarzi Surgical Practice PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kamran Goudarzi Surgical Practice PC was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.