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SOUTHEASTERN RADIATION ONCOLOGY
NPI 1851355390
Radiology - Radiation Oncology in Fayetteville, NC

Active since April 13, 2006
1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 609-6690(910) 609-6313 Get Directions Write a Review

NPPES record last updated: January 10, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Southeastern Radiation Oncology NPPES

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

SOUTHEASTERN RADIATION ONCOLOGY (NPI 1851355390) is a healthcare organization registered as a radiation oncology in Fayetteville, North Carolina and active in the NPI registry since April 2006. The organization lists John Hugh Bryan, President, as its authorized official.

NPPES Registry Identity

NPI1851355390
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameSOUTHEASTERN RADIATION ONCOLOGY
Location Address1638 OWEN DRFayetteville, NC 28304-3424
Mailing AddressPo Box 41208Fayetteville, NC 28309-1208 · (910) 609-6691 · Fax (910) 609-5398
Phone(910) 609-6690
Fax(910) 609-6313
Organization SubpartNo
Authorized OfficialJohn Hugh BryanPresident · (910) 609-6691
Enumeration DateApril 13, 2006
Last NPPES UpdateJanuary 10, 2008
✔ NPI 1851355390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
1638 OWEN DR, Fayetteville, NC 28304
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Other Identifiers 2

Medicaid7902292NC
Medicare PIN0748NC

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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)

Southeastern Radiation Oncology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Southeastern Radiation Oncology, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Sunjay Barton, MD
Radiation Oncology
NPI 1154852606
1638 OWEN DR
Fayetteville, NC 28304
(910) 615-5894
✔ PECOS✔ Accepts MedicareSame address
Abhijeet Bhirud, M.D.
Radiation Oncology
NPI 1447547567
1638 OWEN DR
Fayetteville, NC 28304
(910) 615-6691
✔ PECOS✔ Accepts MedicareSame address
Istvan Pataki, MD
Radiation Oncology
NPI 1689674764
1638 OWEN DR
Fayetteville, NC 28304
(910) 609-6691
✔ PECOS✔ Accepts MedicareSame address
Hannah Peevy, RN, NP, MS
Nurse Practitioner
NPI 1669004701
1638 OWEN DR
Fayetteville, NC 28304
(910) 615-6691
✔ PECOS✔ Accepts MedicareSame address
Siddharth Saraiya, M.D.
Radiation Oncology
NPI 1164721676
1638 OWEN DR
Fayetteville, NC 28304
(910) 615-6691
✔ PECOS✔ Accepts MedicareSame address
Victoria Kelley, NP-C
Nurse Practitioner
NPI 1225671712
4130 N FREEWAY RD
Pueblo, CO 81008
(719) 526-7000
✔ PECOS1,439 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 Southeastern Radiation Oncology's NPI number?

The NPI number for Southeastern Radiation Oncology is 1851355390. It was assigned to this organization in the NPPES registry on April 13, 2006.

Where is Southeastern Radiation Oncology located?

Southeastern Radiation Oncology is located at 1638 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 609-6690.

What is Southeastern Radiation Oncology's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Southeastern Radiation Oncology enrolled in Medicare?

Yes. Southeastern Radiation Oncology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeastern Radiation Oncology?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Southeastern Radiation Oncology. 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. The largest specialties are Radiation Oncology (4) and Nurse Practitioner (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southeastern Radiation Oncology accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Southeastern Radiation Oncology 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 Southeastern Radiation Oncology was last updated on January 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.