NPIMap

Individual provider Active NPI

Siddharth Ajaybhai Saraiya, M.D.

  • Radiation Oncology Physician
  • Fayetteville, NC
National Provider Identifier
1164721676
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2020-01152 Issued in NC
Practice address
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone
(910) 615-6691
NPI assigned
Mar 23, 2011
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 2020-01152 NC Primary

Addresses

Primary practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Mailing address

200 Queens Rd Ste 400
Charlotte, NC 28204-3264
Phone (704) 765-2578

Other practice location 1

225 Brightwater Dr Ste 100
Lillington, NC 27546-5156
Phone (910) 892-1000

Other practice location 2

1200 Pine Run Dr
Lumberton, NC 28358-2180
Phone (910) 671-5730

Other practice location 3

6387 Ramsey St Unit 140
Fayetteville, NC 28311-9442
Phone (910) 615-3840

Other identifiers 1

IdentifierTypeStateIssuer
0169317MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728002245 NC Practitioner - Radiation Oncology 9830330208 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Virginia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Radiation OncologyGroup PAC ID 8426078981, 6 clinicians
Johnston Radiation Oncology LLCGroup PAC ID 7012048838, 19 clinicians
Smithfield Radiation Oncology LLCGroup PAC ID 6709835846, 18 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-6691

2076 Veterans Pkwy
Suite 120
Clayton, NC 27520-8343
Phone (919) 585-8550

514 N Brightleaf Blvd
Suite 1200
Smithfield, NC 27577-4486
Phone (919) 209-3555

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital Inc Current Accepting new patients
Smithfield Radiation Oncology, LLC Radiation Oncology CurrentSince Aug 31, 2020 Accepting new patients
Johnston Radiation Oncology LLC Radiation Oncology CurrentSince Aug 31, 2020 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Dec 1, 2025 Accepting new patients
Southeastern Radiation Oncology Radiation Oncology CurrentSince Feb 2, 2026 Accepting new patients
Park Ophthalmology Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

200 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (704) 765-2578

2076 Veterans Pkwy
Ste 120
Clayton, NC 27520
Phone (919) 585-8550

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

6387 Ramsey St
Unit 140
Fayetteville, NC 28311
Phone (910) 615-3840

225 Brightwater Dr
Ste 100
Lillington, NC 27546
Phone (910) 984-3080

1200 Pine Run Dr
Lumberton, NC 28358
Phone (910) 671-5048

11200 Governor Manly Way
Ste 102
Raleigh, NC 27614
Phone (919) 570-7550

117 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 334-3900

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

4420 Lake Boone Trl
Ste 102
Raleigh, NC 27607
Phone (919) 784-1473

514 N Brightleaf Blvd
Ste 1200
Smithfield, NC 27577
Phone (919) 209-3555

Interoperability endpoints

  • Direct secure messaging: ssaraiya640673@direct.unc.nchie.net

Organizations & group practices 7

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1164721676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043264",
            "telephone_number": "704-765-2578",
            "fax_number": "704-333-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-615-6691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Brightwater Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275465156",
            "country_code": "US",
            "telephone_number": "910-892-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Pine Run Dr",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582180",
            "country_code": "US",
            "telephone_number": "910-671-5730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6387 Ramsey St Unit 140",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283119442",
            "country_code": "US",
            "telephone_number": "910-615-3840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARAIYA",
        "first_name": "SIDDHARTH",
        "middle_name": "AJAYBHAI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-23",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "2020-01152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0169317",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.