Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amudhan Jyothidasan, MD

Individual provider Interventional Cardiology Physician · NPI 1619282365

Amudhan Jyothidasan, MD is a Cardiovascular Disease (Cardiology) in Fayetteville, North Carolina. Qualified in 2007, 19 years ago. Practices with Cape Fear Cardiology Associates PA, an 11-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Massachusetts, North Carolina and South Carolina.

Years since qualifying
19
Licensed in
MA, NC, SC
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3634 Cape Center Dr
Fayetteville, NC 28304-4406
Phone: (910) 485-6470
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 55 Lake Ave N, Worcester, MA 01655-0002 — (774) 442-2173
  • 2376 Cypress Cir Ste 102, Conway, SC 29526-8964 — (843) 347-8953
  • 6010 Highway 707 Ste 300, Myrtle Beach, SC 29588-7321 — (843) 347-8953

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 2017-01125 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 245539 (MA)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 96109 (SC)

Record details

NPI number1619282365
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2010
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Cape Fear Cardiology Associates Pa — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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