Individual provider Active NPI

Nivetha Vishnuvardhan

  • Hematology & Oncology Physician
  • Clayton, NC
National Provider Identifier
1235667049
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2023-01444 Issued in NC
Practice address
2076 NC Highway 42 W Ste 130
Clayton, NC 27520-5303
Phone
(919) 585-8833
Fax
(919) 585-8840
NPI assigned
May 24, 2017
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 2023-01444 NC Primary

Addresses

Primary practice location

2076 NC Highway 42 W Ste 130
Clayton, NC 27520-5303

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490

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
I20230919001806 NC Practitioner - Hematology/Oncology 4183964950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2076 NC Hwy 42 W
Clayton, NC 27520-5303
Phone (919) 585-8835

2076 Veterans Pkwy
Suite 300
Clayton, NC 27520-5303
Phone (919) 585-8835

509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 938-7595

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Johnston Specialty Physician Services,Inc Hematology & Oncology CurrentSince Aug 2, 2023 Accepting new patients
Johnston Specialty Physician Services,Inc Current Accepting new patients

Locations

2076 Veterans Pkwy
Ste 300
Clayton, NC 27520
Phone (919) 585-8835

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

514 N Brightleaf Blvd
Ste 1100
Smithfield, NC 27577
Phone (919) 939-2192

Interoperability endpoints

  • Direct secure messaging: nvishnuvardhan1016181@direct.unc.nchie.net
  • Direct secure messaging: nvishnuvardhan546400@direct.medicine.duke.edu

Organizations & group practices 2

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 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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1235667049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 NC HIGHWAY 42 W STE 130",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205303",
            "telephone_number": "919-585-8833",
            "fax_number": "919-585-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISHNUVARDHAN",
        "first_name": "NIVETHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2023-01444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.