DR. VIJAY RAMCHANDRA RANDIVE MD
NPI 1194824177
Emergency Medicine in Wilmington, NC

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
6932J MARKET STREET, WILMINGTON, NC 28411(910) 799-1249(910) 799-1249 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 23, 2024, May 17, 2022 (2 updates tracked since 2022).

About Dr. Vijay Ramchandra Randive Md NPPES

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

DR. VIJAY RAMCHANDRA RANDIVE MD (NPI 1194824177) is an individual emergency medicine provider in Wilmington, North Carolina, licensed in New York (271183-01) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1194824177
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. VIJAY RAMCHANDRA RANDIVECredential: MD
Location Address6932J MARKET STREETWilmington, NC 28411
Mailing Address6932j Market StreetWilmington, NC 28411 · (910) 799-1249 · Fax (910) 799-0641
Fax(910) 799-1249
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateSeptember 22, 2006
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1194824177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NY · 271183-01✔ Licensed in KY · 47297✔ Licensed in TN · MD0000026562✔ Licensed in SD · 77729✔ Licensed in MN · 77729
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 17879 (OK), 9300288 (NC), 16556 (SC)
6932J MARKET STREET, Wilmington, NC 28411

Other Identifiers 4

Other0265LNC · Bcbs
Medicaid8970188NC
Other70188NC · Bcbs
Medicaid890265LNC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vijay Ramchandra Randive Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759414816
PECOS Enrollment IDI20160205000461
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

20

Medicare enrollment records show Vijay Randive reassigns Medicare billing to 20 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambulatory Surgical
701 DOCTORS DR STE N
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
Emergency Medicine
800 TILGHMAN DR
Dunn, NC 28334
  • Reassigned Medicare billing, North Carolina enrollment
  • 373 clinicians in this Medicare group
Emergency Medicine
100 HOSPITAL DR
Louisburg, NC 27549
  • Reassigned Medicare billing, North Carolina enrollment
  • 76 clinicians in this Medicare group
Emergency Medicine
566 RUIN CREEK RD
Henderson, NC 27536
  • Reassigned Medicare billing, North Carolina enrollment
  • 83 clinicians in this Medicare group
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
Emergency Medicine
200 HOSPITAL AVE
Jefferson, NC 28640
  • Reassigned Medicare billing, North Carolina enrollment
  • 61 clinicians in this Medicare group
Emergency Medicine
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 284 clinicians in this Medicare group
Critical Access
117 HOSPITAL DR
Petersburg, WV 26847
  • Reassigned Medicare billing, West Virginia enrollment
  • 85 clinicians in this Medicare group
General Acute Care Hospital
812 GORMAN AVE
Elkins, WV 26241
  • Reassigned Medicare billing, West Virginia enrollment
  • 246 clinicians in this Medicare group
Emergency Medicine
812 GORMAN AVE
Elkins, WV 26241
  • Reassigned Medicare billing, West Virginia enrollment
  • 90 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
176 services165 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
160 services148 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
79 services79 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
54 services54 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Davis Medical Center

Acute Care Hospitals · Elkins, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510030
Location812 Gorman AvenueElkins, WV 26241 · Randolph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Vijay Randive's NPI number?

The NPI number for Vijay Randive is 1194824177. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Vijay Randive located?

Vijay Randive practices at 6932J Market Street, Wilmington, NC 28411. The listed phone number is (910) 799-1249.

What is Vijay Randive's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Vijay Randive enrolled in Medicare?

Yes. Vijay Randive is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Vijay Randive's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vijay Randive reassigns Medicare benefits to 20 organizations: Vidant Medical Group LLC (Kinston, NC), The Carolinas Emergency Group, PLLC (Dunn, NC), Gem Capital Physicians, PLLC (Louisburg, NC), Bull City Physicians, PLLC (Henderson, NC), Musc Community Physicians (Bamberg, SC) and 15 more organizations, listed in the Medicare section above. Each 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 Vijay Randive's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vijay Randive accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Oscar Health and 2 other insurers list Vijay Randive 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.

Is Vijay Randive affiliated with any hospitals?

According to CMS data, Vijay Randive is affiliated with Musc Medical Center and Davis Medical Center.

When was this NPI record last updated?

The NPPES record for Vijay Randive was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.