AMUDHAN JYOTHIDASAN M.D. – NPI #1619282365
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Health Care Provider Taxonomy Code for Internal Medicine

AMUDHAN JYOTHIDASAN is a physician located in FAYETTEVILLE, NC. NPPES has assigned the NPI number 1619282365 to AMUDHAN JYOTHIDASAN on August 18, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was last updated on Mar 26, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMUDHAN JYOTHIDASAN below.

NPI Profile for
AMUDHAN JYOTHIDASAN

NPI Number
1619282365
Enumeration Date

(about 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
AMUDHAN JYOTHIDASAN
Credentials
M.D.
Primary location
3634 CAPE CENTER DR
FAYETTEVILLE, NC 28304-4406
Phone: (910) 485-6470 Fax:
3 Other location(s):
55 Lake Ave N
Worcester, MA 01655-0002
Phone: (774) 442-2173
2376 Cypress Cir Ste 102
Conway, SC 29526-8964
Phone: (843) 347-8953
Fax: (843) 347-0226
6010 Highway 707 Ste 300
Myrtle Beach, SC 29588-7321
Phone: (843) 347-8953
Fax: (843) 347-0226
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Mar 26, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AMUDHAN JYOTHIDASAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidSC961093
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)		 NC 2017-01125
207R00000X
- Internal Medicine		 MA 245539

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
AMUDHAN JYOTHIDASAN is affiliated with the following medical group(s):
  • HOSPITAL
    • CAPE FEAR VALLEY HOKE HOSPITAL
      210 MEDICAL PAVILION DRIVE
      RAEFORD, NC 28376
    • CAPE FEAR VALLEY MEDICAL CENTER
      1638 OWEN DRIVE P O BOX 2000
      FAYETTEVILLE, NC 28302

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.