Individual provider Active NPI

Viraj Mayur Patel, M.D.

  • Otolaryngology Physician
  • Raleigh, NC
National Provider Identifier
1083146450
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2022-01293 Issued in NC
Practice address
3906 Wake Forest Rd
Raleigh, NC 27609-6867
Phone
(919) 766-8989
Fax
(919) 766-8896
NPI assigned
Apr 3, 2017
Last updated
May 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2022-01293 NC Primary

Addresses

Primary practice location

3906 Wake Forest Rd
Raleigh, NC 27609-6867

Mailing address

3906 Wake Forest Rd
Raleigh, NC 27609-6867
Phone (919) 766-8989

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
I20220822001877 NC Practitioner - Otolaryngology 3173864097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triangle Sinus Center PLLCGroup PAC ID 8820434665, 6 clinicians

Practice addresses (Care Compare)

3906 Wake Forest Rd
Raleigh, NC 27609-6867
Phone (919) 766-8989

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-01293NCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Sinus Center PLLC Otolaryngology CurrentSince Apr 1, 2024 Accepting new patients
Duke Health Integrated Practice, Inc. Past Accepting new patients
Prana Health PLLC PastSince May 26, 2024 Accepting new patients

Locations

10010 Falls of Neuse Rd
Ste 12
Raleigh, NC 27614
Phone (919) 766-8989

3906 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 766-8989

Organizations & group practices 3

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

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1083146450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 WAKE FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096867",
            "telephone_number": "919-766-8989",
            "fax_number": "919-766-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 WAKE FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096867",
            "telephone_number": "919-766-8989",
            "fax_number": "919-766-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIRAJ",
        "middle_name": "MAYUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2024-05-24",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2022-01293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.