Individual provider Active NPI

Sanjay Cherukuri, SANJAY CHERUKURI

  • Interventional Cardiology Physician
  • Wilson, NC
National Provider Identifier
1235394479
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
214644 Issued in NC
Practice address
2605 Forest Hills Rd SW
Wilson, NC 27893-4448
Phone
(252) 243-7161
Fax
(252) 243-7242
NPI assigned
Jul 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 214644 NC Primary

Addresses

Primary practice location

2605 Forest Hills Rd SW
Wilson, NC 27893-4448

Mailing address

2605 Forest Hills Rd SW
Wilson, NC 27893-4448
Phone (252) 243-7161

Other names 1

  • Dr. Sanjay Cherukuri Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scherukuri197899@direct.UNC.nchie.net Direct

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
I20161011001302 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 2365673936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

2605 Forest Hills Rd SW
Suite D
Wilson, NC 27893-4448
Phone (252) 243-7161

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214644NCMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060

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

2605 Forest Hills Rd SW
Ste D
Wilson, NC 27893
Phone (252) 243-7161

Interoperability endpoints

  • Direct secure messaging: scherukuri197899@direct.unc.nchie.net

Organizations & group practices 1

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 3

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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1235394479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 FOREST HILLS RD SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934448",
            "telephone_number": "252-243-7161",
            "fax_number": "252-243-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 FOREST HILLS RD SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934448",
            "telephone_number": "252-243-7161",
            "fax_number": "252-243-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERUKURI",
        "first_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "SANJAY CHERUKURI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "214644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scherukuri197899@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2605 Forest Hills Rd SW",
            "city": "Wilson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278934448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SANJAY",
            "last_name": "CHERUKURI",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.