Individual provider Active NPI

Nikhil Teppara, M.D.

  • Surgery Physician
  • Winston Salem, NC
National Provider Identifier
1003042409
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2011-01276 Issued in NC
Practice address
2915 Lyndhurst Ave
Winston Salem, NC 27103-4005
Phone
(336) 765-5221
Fax
(336) 765-0430
NPI assigned
Jun 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X AS2383278-0706 CT
Surgery Physician 208600000X 2011-01276 NC Primary

Addresses

Primary practice location

2915 Lyndhurst Ave
Winston Salem, NC 27103-4005

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1814 Westchester Drive
Suite 101
High Point, NC 27262-7369
Phone (336) 802-2150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111025000918 NC Practitioner - General Surgery 8820261571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of South Carolina School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

2915 Lyndhurst Ave
Winston Salem, NC 27103-4005
Phone (336) 765-5221

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AS2383278-0706CTMDSurgery Physician
2011-01276NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of North Carolina PC Surgery CurrentSince Mar 24, 2025 Accepting new patients
Novant Health Medical Group, LLC Surgery CurrentSince Aug 6, 2023 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 6, 2023 Accepting new patients
Cornerstone Health Care PA Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

330 Billingsley Rd
Ste 202
Charlotte, NC 28211
Phone (704) 316-2350

7126 Village Medical Cir
Clemmons, NC 27012
Phone (336) 448-2427

1226 Eastchester Dr
High Point, NC 27265
Phone (336) 765-5221

1710 Kernersville Medical Pkwy
Ste 202
Kernersville, NC 27284
Phone (336) 564-4873

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2915 Lyndhurst Ave
Winston Salem, NC 27103
Phone (336) 760-0558

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Networks

  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • TN PPO C-SNP
  • TN PPO
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3

Interoperability endpoints

  • Direct secure messaging: nteppara2791893@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: nteppara140657@direct.novanthealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1003042409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 LYNDHURST AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034005",
            "telephone_number": "336-765-5221",
            "fax_number": "336-765-0430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1814 Westchester Drive",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272627369",
            "country_code": "US",
            "telephone_number": "336-802-2150",
            "fax_number": "336-802-2151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEPPARA",
        "first_name": "NIKHIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "AS2383278-0706",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2011-01276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.